- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $10,506.16 / $21,899.37
| Facility | | $5,463.36 | $10,506.16 | $21,899.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,289.74 / $9,879.48 / $18,546.30
| Facility | | $7,289.74 | $9,879.48 | $18,546.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $224.86 / $393.51 / $87,223.00
| Facility | | $224.86 | $393.51 | $87,223.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $273.13 / $463.18 / $704.41
| Facility | | $273.13 | $463.18 | $704.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |