- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,797.20 / $8,477.27 / $20,928.72
| Facility | | $2,797.20 | $8,477.27 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,998.88 / $6,774.77 / $12,717.97
| Facility | | $4,998.88 | $6,774.77 | $12,717.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.27 / $1,002.53 / $7,639.80
| Facility | | $426.27 | $1,002.53 | $7,639.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $800.27 / $1,120.31 / $3,162.53
| Facility | | $800.27 | $1,120.31 | $3,162.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |