- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $20,928.72
| Facility | | $4,241.22 | $10,431.19 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,424.50 / $24,233.27 / $46,874.97
| Facility | | $18,424.50 | $24,233.27 | $46,874.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $789.45 / $1,143.02 / $7,255.44
| Facility | | $789.45 | $1,143.02 | $7,255.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,228.00 / $1,526.20 / $2,075.36
| Facility | | $1,228.00 | $1,526.20 | $2,075.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,054.00 / $4,317.00 / $13,909.00
| Facility | | $3,054.00 | $4,317.00 | $13,909.00 |