- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,638.00 / $10,617.40 / $17,095.40
| Facility | | $1,638.00 | $10,617.40 | $17,095.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,936.77 / $9,563.04 / $14,287.52
| Facility | | $5,936.77 | $9,563.04 | $14,287.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,404.01 / $2,555.21 / $8,842.06
| Facility | | $1,404.01 | $2,555.21 | $8,842.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $425.02 / $10,081.58 / $10,152.20
| Facility | | $425.02 | $10,081.58 | $10,152.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,718.11 / $9,310.89 / $19,554.02
| Facility | | $6,718.11 | $9,310.89 | $19,554.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,205.90 / $9,115.70 / $16,786.43
| Facility | | $6,205.90 | $9,115.70 | $16,786.43 |