- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,187.36 / $7,182.00 / $15,726.20
| Facility | | $1,187.36 | $7,182.00 | $15,726.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,875.66 / $7,168.58 / $12,337.09
| Facility | | $2,875.66 | $7,168.58 | $12,337.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $505.00 / $3,208.42 / $4,122.88
| Facility | | $505.00 | $3,208.42 | $4,122.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $950.72 / $1,290.00 / $2,131.39
| Facility | | $950.72 | $1,290.00 | $2,131.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,114.00 / $12,798.00 / $23,771.00
| Facility | | $5,114.00 | $12,798.00 | $23,771.00 |