- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,318.31 / $4,518.60 / $13,841.56
| Facility | | $2,318.31 | $4,518.60 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,503.12 / $7,458.15 / $14,000.85
| Facility | | $5,503.12 | $7,458.15 | $14,000.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.82 / $308.45 / $6,451.00
| Facility | | $141.82 | $308.45 | $6,451.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $265.39 / $354.12 / $3,054.91
| Facility | | $265.39 | $354.12 | $3,054.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |