- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,653.00 / $5,463.36 / $13,841.56
| Facility | | $1,653.00 | $5,463.36 | $13,841.56 |
- 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
- $307.08 / $1,089.83 / $2,461.40
| Facility | | $307.08 | $1,089.83 | $2,461.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $777.87 / $2,457.77 / $7,636.75
| Facility | | $777.87 | $2,457.77 | $7,636.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |