- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,166.29 / $5,463.36 / $13,841.56
| Facility | | $2,166.29 | $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
- $66.09 / $129.08 / $4,493.00
| Facility | | $66.09 | $129.08 | $4,493.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.14 / $165.04 / $1,476.40
| Facility | | $124.14 | $165.04 | $1,476.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,044.00 / $3,726.00 / $7,934.00
| Facility | | $3,044.00 | $3,726.00 | $7,934.00 |