- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,324.73 / $10,431.19 / $23,483.17
| Facility | | $1,324.73 | $10,431.19 | $23,483.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,183.05 / $10,762.95 / $20,819.02
| Facility | | $8,183.05 | $10,762.95 | $20,819.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,236.24 / $2,163.42 / $7,423.00
| Facility | | $1,236.24 | $2,163.42 | $7,423.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,588.74 / $2,020.85 / $3,260.29
| Facility | | $1,588.74 | $2,020.85 | $3,260.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,777.00 / $8,220.00 / $9,696.00
| Facility | | $6,777.00 | $8,220.00 | $9,696.00 |