- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $11,611.47 / $24,068.03
| Facility | | $5,463.36 | $11,611.47 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,970.26 / $11,554.64 / $20,277.64
| Facility | | $7,970.26 | $11,554.64 | $20,277.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.51 / $1,349.40 / $2,353.58
| Facility | | $776.51 | $1,349.40 | $2,353.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,556.72 / $1,934.57 / $5,251.23
| Facility | | $1,556.72 | $1,934.57 | $5,251.23 |
- 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 |