- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $20,928.72
| Facility | | $4,241.22 | $10,431.19 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,718.25 / $13,170.73 / $24,724.83
| Facility | | $9,718.25 | $13,170.73 | $24,724.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,123.46 / $3,455.74 / $7,856.00
| Facility | | $2,123.46 | $3,455.74 | $7,856.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,576.00 / $4,771.58 / $6,687.71
| Facility | | $3,576.00 | $4,771.58 | $6,687.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,054.00 / $4,317.00 / $13,909.00
| Facility | | $3,054.00 | $4,317.00 | $13,909.00 |