- 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
- $357.75 / $623.55 / $1,048.72
| Facility | | $357.75 | $623.55 | $1,048.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $709.37 / $953.00 / $7,521.66
| Facility | | $709.37 | $953.00 | $7,521.66 |
- 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 |