- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $11,100.08 / $23,483.17
| Facility | | $5,463.36 | $11,100.08 | $23,483.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,218.81 / $10,465.26 / $18,365.84
| Facility | | $7,218.81 | $10,465.26 | $18,365.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $768.24 / $1,298.33 / $1,891.24
| Facility | | $768.24 | $1,298.33 | $1,891.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,358.00 / $1,850.78 / $2,555.35
| Facility | | $1,358.00 | $1,850.78 | $2,555.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,054.00 / $4,317.00 / $13,909.00
| Facility | | $3,054.00 | $4,317.00 | $13,909.00 |