- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,906.97 / $8,477.27 / $21,899.37
| Facility | | $3,906.97 | $8,477.27 | $21,899.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,889.38 / $7,684.16 / $14,983.55
| Facility | | $5,889.38 | $7,684.16 | $14,983.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,135.79 / $5,135.79 / $5,135.79
| Facility | | $5,135.79 | $5,135.79 | $5,135.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,062.27 / $2,408.58 / $8,816.00
| Facility | | $1,062.27 | $2,408.58 | $8,816.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,392.00 / $2,952.01 / $6,162.95
| Facility | | $1,392.00 | $2,952.01 | $6,162.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,022.76 / $7,221.00 / $8,816.00
| Facility | | $4,022.76 | $7,221.00 | $8,816.00 |