- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.40 / $8,477.27 / $20,928.72
| Facility | | $1,548.40 | $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
- $1,548.40 / $2,709.70 / $4,406.00
| Facility | | $1,548.40 | $2,709.70 | $4,406.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,004.45 / $3,894.09 / $5,546.93
| Facility | | $2,004.45 | $3,894.09 | $5,546.93 |
- 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 |