- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $20,928.72
| Facility | | $4,241.22 | $10,431.19 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,732.29 / $13,189.77 / $24,760.56
| Facility | | $9,732.29 | $13,189.77 | $24,760.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $402.58 / $4,416.07 / $8,611.37
| Facility | | $402.58 | $4,416.07 | $8,611.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $745.19 / $5,115.04 / $8,740.21
| Facility | | $745.19 | $5,115.04 | $8,740.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,939.00 / $8,158.00 / $9,496.00
| Facility | | $6,939.00 | $8,158.00 | $9,496.00 |