- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,083.97 / $8,477.27 / $19,276.96
| Facility | | $4,083.97 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,070.46 / $5,516.52 / $10,355.91
| Facility | | $4,070.46 | $5,516.52 | $10,355.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.27 / $889.35 / $7,934.00
| Facility | | $501.27 | $889.35 | $7,934.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $940.58 / $1,168.86 / $4,164.35
| Facility | | $940.58 | $1,168.86 | $4,164.35 |
- 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 |