- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $20,928.72
| Facility | | $4,241.22 | $10,431.19 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,751.95 / $13,216.42 / $24,810.59
| Facility | | $9,751.95 | $13,216.42 | $24,810.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,102.58 / $1,966.94 / $7,221.00
| Facility | | $1,102.58 | $1,966.94 | $7,221.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,922.00 / $2,459.23 / $3,460.09
| Facility | | $1,922.00 | $2,459.23 | $3,460.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |