- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,544.14 / $13,578.30 / $18,214.09
| Facility | | $6,544.14 | $13,578.30 | $18,214.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,441.35 / $6,667.53 / $23,259.82
| Facility | | $1,441.35 | $6,667.53 | $23,259.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $880.00 / $880.00 / $1,365.00
| Facility | | $880.00 | $880.00 | $1,365.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,541.54 / $13,880.84 / $24,314.48
| Facility | | $11,541.54 | $13,880.84 | $24,314.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $340.00 / $1,103.00 / $9,447.45
| Facility | | $340.00 | $1,103.00 | $9,447.45 |