- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,353.75 / $7,510.39 / $20,928.72
| Facility | | $1,353.75 | $7,510.39 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,074.79 / $8,806.74 / $15,455.25
| Facility | | $6,074.79 | $8,806.74 | $15,455.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $282.91 / $495.09 / $4,800.83
| Facility | | $282.91 | $495.09 | $4,800.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $559.73 / $758.51 / $2,440.29
| Facility | | $559.73 | $758.51 | $2,440.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |