- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,917.20 / $9,640.26 / $20,928.72
| Facility | | $4,917.20 | $9,640.26 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,828.69 / $16,873.23 / $32,638.27
| Facility | | $12,828.69 | $16,873.23 | $32,638.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $423.22 / $630.69 / $31,771.37
| Facility | | $423.22 | $630.69 | $31,771.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $658.85 / $991.79 / $26,521.66
| Facility | | $658.85 | $991.79 | $26,521.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,148.00 / $9,696.00 / $15,622.00
| Facility | | $8,148.00 | $9,696.00 | $15,622.00 |