- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,083.97 / $8,477.27 / $19,276.96
| Facility | | $4,083.97 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,092.34 / $8,013.10 / $15,499.92
| Facility | | $6,092.34 | $8,013.10 | $15,499.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $480.30 / $5,950.01 / $11,287.20
| Facility | | $480.30 | $5,950.01 | $11,287.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $819.61 / $5,661.05 / $10,860.98
| Facility | | $819.61 | $5,661.05 | $10,860.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,777.00 / $8,220.00 / $9,696.00
| Facility | | $6,777.00 | $8,220.00 | $9,696.00 |