- 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
- $9,584.12 / $13,894.28 / $24,383.56
| Facility | | $9,584.12 | $13,894.28 | $24,383.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $862.45 / $1,457.54 / $2,123.35
| Facility | | $862.45 | $1,457.54 | $2,123.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,527.00 / $2,142.63 / $2,856.24
| Facility | | $1,527.00 | $2,142.63 | $2,856.24 |
- 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 |