- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,239.12 / $13,578.30 / $20,963.70
| Facility | | $9,239.12 | $13,578.30 | $20,963.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,734.00 / $4,701.00 / $24,832.30
| Facility | | $2,734.00 | $4,701.00 | $24,832.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,381.13 / $3,411.56 / $4,639.49
| Facility | | $2,381.13 | $3,411.56 | $4,639.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,467.56 / $2,875.19 / $23,238.05
| Facility | | $1,467.56 | $2,875.19 | $23,238.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,239.12 / $13,888.20 / $22,207.90
| Facility | | $9,239.12 | $13,888.20 | $22,207.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,312.00 / $9,549.07 / $18,476.79
| Facility | | $1,312.00 | $9,549.07 | $18,476.79 |