- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,392.64 / $10,506.16 / $21,899.37
| Facility | | $5,392.64 | $10,506.16 | $21,899.37 |
- 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
- $331.39 / $626.58 / $10,247.57
| Facility | | $331.39 | $626.58 | $10,247.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.37 / $857.72 / $4,487.09
| Facility | | $625.37 | $857.72 | $4,487.09 |
- 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 |