- 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
- $13,972.71 / $18,377.93 / $35,548.86
| Facility | | $13,972.71 | $18,377.93 | $35,548.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.56 / $57.10 / $17,036.00
| Facility | | $37.56 | $57.10 | $17,036.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.04 / $73.37 / $98.36
| Facility | | $59.04 | $73.37 | $98.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,221.00 / $14,143.00 / $40,166.00
| Facility | | $11,221.00 | $14,143.00 | $40,166.00 |