- 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
- $10,176.85 / $13,792.24 / $25,891.56
| Facility | | $10,176.85 | $13,792.24 | $25,891.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,352.53 / $2,366.92 / $7,772.00
| Facility | | $1,352.53 | $2,366.92 | $7,772.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,606.00 / $3,380.38 / $4,666.91
| Facility | | $2,606.00 | $3,380.38 | $4,666.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,044.00 / $3,726.00 / $7,934.00
| Facility | | $3,044.00 | $3,726.00 | $7,934.00 |