- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $883.13 / $6,699.62 / $22,636.17
| Facility | | $883.13 | $6,699.62 | $22,636.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,832.52 / $16,192.78 / $36,581.76
| Facility | | $1,832.52 | $16,192.78 | $36,581.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,342.34 / $3,321.72 / $7,990.86
| Facility | | $2,342.34 | $3,321.72 | $7,990.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,904.15 / $3,036.85 / $6,292.01
| Facility | | $1,904.15 | $3,036.85 | $6,292.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,352.18 / $2,703.18 / $13,023.94
| Facility | | $1,352.18 | $2,703.18 | $13,023.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,913.00 / $12,722.00 / $34,443.69
| Facility | | $5,913.00 | $12,722.00 | $34,443.69 |