- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,653.00 / $5,463.36 / $13,841.56
| Facility | | $1,653.00 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,641.59 / $10,356.32 / $19,441.45
| Facility | | $7,641.59 | $10,356.32 | $19,441.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.27 / $377.36 / $8,632.00
| Facility | | $190.27 | $377.36 | $8,632.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $362.31 / $511.63 / $3,054.91
| Facility | | $362.31 | $511.63 | $3,054.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |