- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $10,915.56 / $21,899.37
| Facility | | $5,463.36 | $10,915.56 | $21,899.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,193.47 / $8,978.79 / $15,757.21
| Facility | | $6,193.47 | $8,978.79 | $15,757.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.20 / $852.04 / $1,597.00
| Facility | | $501.20 | $852.04 | $1,597.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $990.90 / $1,334.36 / $5,251.23
| Facility | | $990.90 | $1,334.36 | $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 |