- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,760.30 / $8,355.33 / $19,276.96
| Facility | | $1,760.30 | $8,355.33 | $19,276.96 |
- 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
- $235.54 / $438.89 / $7,772.00
| Facility | | $235.54 | $438.89 | $7,772.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $442.36 / $611.24 / $3,054.91
| Facility | | $442.36 | $611.24 | $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 |