- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.54 / $4,897.79 / $28,840.32
| Facility | | $1,412.54 | $4,897.79 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $8,317.64 / $16,218.10
| Facility | | $2,238.72 | $8,317.64 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $27,542.29 / $33,884.42
| Facility | | $10,715.19 | $27,542.29 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $4,786.30 / $32,359.37
| Facility | | $457.09 | $4,786.30 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,162.28 / $5,495.41 / $18,620.87
| Facility | | $3,162.28 | $5,495.41 | $18,620.87 |