- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $12,882.50 / $38,018.94
| Facility | | $1,445.44 | $12,882.50 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $17,782.79 / $17,782.79 / $17,782.79
| Facility | 22 | $17,782.79 | $17,782.79 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $36,307.81 / $52,480.75
| Facility | | $7,413.10 | $36,307.81 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $1,412.54 / $1,584.89
| Facility | | $1,122.02 | $1,412.54 | $1,584.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $1,698.24 / $2,454.71
| Facility | | $1,230.27 | $1,698.24 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $11,220.18 / $17,378.01
| Facility | | $5,128.61 | $11,220.18 | $17,378.01 |