- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,005.01 / $8,449.28 / $14,868.30
| Facility | | $5,005.01 | $8,449.28 | $14,868.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,368.94 / $7,927.35 / $13,034.42
| Facility | | $5,368.94 | $7,927.35 | $13,034.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,552.84 / $7,788.17 / $11,211.41
| Facility | | $4,552.84 | $7,788.17 | $11,211.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,851.00 / $48,537.00 / $48,537.00
| Facility | | $19,851.00 | $48,537.00 | $48,537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $8,034.24 / $18,400.00
| Facility | | $2,520.00 | $8,034.24 | $18,400.00 |