- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,318.31 / $5,463.36 / $13,841.56
| Facility | | $2,318.31 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,430.26 / $12,221.51 / $21,447.95
| Facility | | $8,430.26 | $12,221.51 | $21,447.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $170.01 / $297.52 / $483.39
| Facility | | $170.01 | $297.52 | $483.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.45 / $437.30 / $7,236.79
| Facility | | $341.45 | $437.30 | $7,236.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |