- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,816.50 / $16,143.90 / $22,333.10
| Facility | | $4,816.50 | $16,143.90 | $22,333.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,092.19
| Facility | | $1,146.00 | $3,000.00 | $8,092.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,076.33 / $8,395.64 / $15,572.71
| Facility | | $6,076.33 | $8,395.64 | $15,572.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,076.33 / $8,669.70 / $15,572.71
| Facility | | $6,076.33 | $8,669.70 | $15,572.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,527.51 / $10,745.61 / $16,661.24
| Facility | | $4,527.51 | $10,745.61 | $16,661.24 |