- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,193.42 / $8,477.27 / $20,928.72
| Facility | | $2,193.42 | $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
- $2,193.42 / $3,838.49 / $6,374.93
| Facility | | $2,193.42 | $3,838.49 | $6,374.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,853.36 / $5,604.41 / $7,984.99
| Facility | | $2,853.36 | $5,604.41 | $7,984.99 |
- 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 |