- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $8,477.27 / $20,928.72
| Facility | | $5,463.36 | $8,477.27 | $20,928.72 |
- 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
- $256.39 / $468.69 / $7,772.00
| Facility | | $256.39 | $468.69 | $7,772.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $482.33 / $667.24 / $3,054.91
| Facility | | $482.33 | $667.24 | $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 |