- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,694.85 / $9,917.62 / $20,155.20
| Facility | | $7,694.85 | $9,917.62 | $20,155.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,169.46 / $3,435.97 / $10,011.69
| Facility | | $2,169.46 | $3,435.97 | $10,011.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,669.03 / $8,359.77 / $9,557.37
| Facility | | $6,669.03 | $8,359.77 | $9,557.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,905.71 / $13,905.71 / $13,905.71
| Facility | | $13,905.71 | $13,905.71 | $13,905.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,216.64 / $4,143.93 / $11,513.44
| Facility | | $1,216.64 | $4,143.93 | $11,513.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,857.00 / $11,124.00 / $14,533.00
| Facility | | $1,857.00 | $11,124.00 | $14,533.00 |