- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,656.12 / $11,707.30 / $13,497.80
| Facility | | $9,656.12 | $11,707.30 | $13,497.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,368.70 / $15,371.66 / $37,686.58
| Facility | | $6,368.70 | $15,371.66 | $37,686.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,067.00 / $4,334.00
| Facility | | $1,252.00 | $3,067.00 | $4,334.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,589.79 / $13,672.59 / $23,466.45
| Facility | | $8,589.79 | $13,672.59 | $23,466.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $20,323.75
| Facility | | $2,332.00 | $5,310.00 | $20,323.75 |