- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $9,245.01 / $21,899.37
| Facility | | $5,463.36 | $9,245.01 | $21,899.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,896.29 / $5,280.48 / $9,912.79
| Facility | | $3,896.29 | $5,280.48 | $9,912.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $238.26 / $457.06 / $7,772.00
| Facility | | $238.26 | $457.06 | $7,772.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $451.55 / $602.29 / $3,145.09
| Facility | | $451.55 | $602.29 | $3,145.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |