- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,417.02 / $10,977.72 / $24,068.03
| Facility | | $5,417.02 | $10,977.72 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,779.83 / $7,833.15 / $14,704.82
| Facility | | $5,779.83 | $7,833.15 | $14,704.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $271.66 / $1,314.15 / $6,145.03
| Facility | | $271.66 | $1,314.15 | $6,145.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $506.41 / $2,079.00 / $4,164.35
| Facility | | $506.41 | $2,079.00 | $4,164.35 |
- 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 |