- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,318.26 / $18,620.87 / $21,379.62
| Facility | | $1,318.26 | $18,620.87 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $35,481.34 / $52,480.75
| Facility | | $7,413.10 | $35,481.34 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $891.25 / $1,023.29
| Facility | | $851.14 | $891.25 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $1,445.44 / $2,089.30
| Facility | | $912.01 | $1,445.44 | $2,089.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $11,220.18 / $17,378.01
| Facility | | $5,128.61 | $11,220.18 | $17,378.01 |