- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,144.37 / $5,463.36 / $13,841.56
| Facility | | $2,144.37 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,904.89 / $9,357.90 / $17,567.16
| Facility | | $6,904.89 | $9,357.90 | $17,567.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $518.62 / $911.72 / $9,719.69
| Facility | | $518.62 | $911.72 | $9,719.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $953.00 / $1,199.16 / $5,275.65
| Facility | | $953.00 | $1,199.16 | $5,275.65 |
- 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 |