- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $5,370.32 / $30,199.52
| Facility | | $1,202.26 | $5,370.32 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $25,703.96 / $32,359.37
| Facility | | $7,413.10 | $25,703.96 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.96 / $891.25 / $1,023.29
| Facility | | $870.96 | $891.25 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $3,801.89 / $3,801.89
| Facility | | $3,801.89 | $3,801.89 | $3,801.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $9,549.93 / $16,218.10
| Facility | | $4,466.84 | $9,549.93 | $16,218.10 |