- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $11,668.15 / $24,068.03
| Facility | | $5,463.36 | $11,668.15 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,744.80 / $41,753.08 / $80,763.95
| Facility | | $31,744.80 | $41,753.08 | $80,763.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,979.40 / $2,832.01 / $13,909.00
| Facility | | $1,979.40 | $2,832.01 | $13,909.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,116.47 / $3,876.23 / $5,642.77
| Facility | | $3,116.47 | $3,876.23 | $5,642.77 |
- 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 |