- 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
- $7,653.53 / $11,095.47 / $19,471.83
| Facility | | $7,653.53 | $11,095.47 | $19,471.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $395.21 / $691.62 / $1,516.18
| Facility | | $395.21 | $691.62 | $1,516.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $793.55 / $1,022.23 / $4,732.46
| Facility | | $793.55 | $1,022.23 | $4,732.46 |
- 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 |