- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,347.15 / $4,846.00 / $23,093.50
| Facility | | $1,347.15 | $4,846.00 | $23,093.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,008.00 / $16,700.00 / $33,821.32
| Facility | | $4,008.00 | $16,700.00 | $33,821.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,306.69 / $1,698.70 / $1,960.04
| Facility | | $1,306.69 | $1,698.70 | $1,960.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,705.12 / $4,705.12 / $5,577.46
| Facility | | $4,705.12 | $4,705.12 | $5,577.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,431.00 / $12,330.00 / $17,416.00
| Facility | | $5,431.00 | $12,330.00 | $17,416.00 |