- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,154.00 / $17,275.09 / $23,898.10
| Facility | | $5,154.00 | $17,275.09 | $23,898.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $2,927.75 / $4,464.72
| Facility | | $1,146.00 | $2,927.75 | $4,464.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,502.11 / $8,983.94 / $16,663.91
| Facility | | $6,502.11 | $8,983.94 | $16,663.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,502.11 / $8,983.94 / $16,663.91
| Facility | | $6,502.11 | $8,983.94 | $16,663.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,844.76 / $11,498.57 / $17,828.72
| Facility | | $4,844.76 | $11,498.57 | $17,828.72 |