- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $10,506.16 / $21,899.37
| Facility | | $5,463.36 | $10,506.16 | $21,899.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,669.97 / $18,367.90 / $32,234.47
| Facility | | $12,669.97 | $18,367.90 | $32,234.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,279.80 / $2,175.66 / $3,154.96
| Facility | | $1,279.80 | $2,175.66 | $3,154.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,322.00 / $3,171.74 / $4,492.53
| Facility | | $2,322.00 | $3,171.74 | $4,492.53 |
- 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 |