- 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
- $9,086.90 / $12,315.08 / $23,118.55
| Facility | | $9,086.90 | $12,315.08 | $23,118.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,443.88 / $3,952.13 / $7,856.00
| Facility | | $2,443.88 | $3,952.13 | $7,856.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,375.00 / $5,447.57 / $7,608.43
| Facility | | $4,375.00 | $5,447.57 | $7,608.43 |
- 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 |