- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $4,897.79 / $10,964.78
| Facility | | $1,479.11 | $4,897.79 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $30,902.95 / $56,234.13
| Facility | | $12,589.25 | $30,902.95 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $2,041.74 / $2,344.23
| Facility | | $1,862.09 | $2,041.74 | $2,344.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $3,311.31 / $4,677.35
| Facility | | $2,187.76 | $3,311.31 | $4,677.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $13,803.84 / $22,387.21
| Facility | | $6,165.95 | $13,803.84 | $22,387.21 |