- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,095.53 / $8,477.27 / $20,928.72
| Facility | | $2,095.53 | $8,477.27 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,766.83 / $15,476.59 / $29,936.73
| Facility | | $11,766.83 | $15,476.59 | $29,936.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,095.53 / $3,667.18 / $6,161.70
| Facility | | $2,095.53 | $3,667.18 | $6,161.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,736.25 / $5,309.15 / $7,434.37
| Facility | | $2,736.25 | $5,309.15 | $7,434.37 |
- 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 |