- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,308.54 / $8,023.32 / $20,928.72
| Facility | | $4,308.54 | $8,023.32 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,451.74 / $4,678.00 / $8,781.79
| Facility | | $3,451.74 | $4,678.00 | $8,781.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $433.52 / $690.62 / $4,736.32
| Facility | | $433.52 | $690.62 | $4,736.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $754.66 / $985.86 / $2,929.96
| Facility | | $754.66 | $985.86 | $2,929.96 |
- 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 |