- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $7,079.46 / $22,908.68
| Facility | | $2,344.23 | $7,079.46 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $22,387.21 / $22,387.21
| Facility | | $21,379.62 | $22,387.21 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $10,964.78 / $33,884.42
| Facility | | $7,762.47 | $10,964.78 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $3,467.37 / $19,952.62
| Facility | | $1,258.93 | $3,467.37 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $7,413.10 / $23,442.29
| Facility | | $3,467.37 | $7,413.10 | $23,442.29 |