- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $12,022.64 / $21,877.62
| Facility | | $7,943.28 | $12,022.64 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $11,748.98 / $20,417.38
| Facility | | $7,079.46 | $11,748.98 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $30,902.95 / $61,659.50
| Facility | | $16,982.44 | $30,902.95 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $1,819.70 / $3,090.30
| Facility | | $1,230.27 | $1,819.70 | $3,090.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $19,952.62 / $25,703.96
| Facility | | $8,709.64 | $19,952.62 | $25,703.96 |