- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $7,244.36 / $25,703.96
| Facility | | $1,445.44 | $7,244.36 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $17,782.79 / $43,651.58
| Facility | | $6,606.93 | $17,782.79 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,235.94 / $16,595.87 / $38,018.94
| Facility | | $3,235.94 | $16,595.87 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $1,258.93 / $1,258.93 / $1,258.93
| Facility | 22 | $1,258.93 | $1,258.93 | $1,258.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,019.95 / $12,022.64 / $36,307.81
| Facility | | $3,019.95 | $12,022.64 | $36,307.81 |