- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,318.31 / $5,463.36 / $13,841.56
| Facility | | $2,318.31 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,990.74 / $13,540.02 / $25,418.08
| Facility | | $9,990.74 | $13,540.02 | $25,418.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,430.18 / $2,537.67 / $7,772.00
| Facility | | $1,430.18 | $2,537.67 | $7,772.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,379.00 / $3,195.74 / $4,513.39
| Facility | | $2,379.00 | $3,195.74 | $4,513.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |