- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $9,120.11 / $16,595.87
| Facility | | $851.14 | $9,120.11 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,168.69 / $9,772.37 / $18,197.01
| Facility | | $4,168.69 | $9,772.37 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $575.44 / $2,818.38
| Facility | | $575.44 | $575.44 | $2,818.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $446.68 / $741.31
| Facility | | $309.03 | $446.68 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $17,378.01 / $25,703.96
| Facility | | $6,309.57 | $17,378.01 | $25,703.96 |