- 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
- $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
- $1,107.55 / $1,882.84 / $2,833.00
| Facility | | $1,107.55 | $1,882.84 | $2,833.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,989.00 / $2,755.44 / $3,747.11
| Facility | | $1,989.00 | $2,755.44 | $3,747.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,126.00 / $4,317.00 / $7,856.00
| Facility | | $3,126.00 | $4,317.00 | $7,856.00 |