- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,417.02 / $11,611.47 / $24,068.03
| Facility | | $5,417.02 | $11,611.47 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,065.60 / $6,609.33 / $12,887.71
| Facility | | $5,065.60 | $6,609.33 | $12,887.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,066.00 / $2,266.27 / $8,816.00
| Facility | | $1,066.00 | $2,266.27 | $8,816.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,805.55 / $2,956.51 / $5,041.80
| Facility | | $1,805.55 | $2,956.51 | $5,041.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |