- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $10,255.42 / $23,483.17
| Facility | | $5,463.36 | $10,255.42 | $23,483.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,718.25 / $13,170.73 / $24,724.83
| Facility | | $9,718.25 | $13,170.73 | $24,724.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $865.76 / $1,850.40 / $10,294.24
| Facility | | $865.76 | $1,850.40 | $10,294.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,624.85 / $2,173.84 / $5,275.65
| Facility | | $1,624.85 | $2,173.84 | $5,275.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,548.74 / $8,163.00 / $9,696.00
| Facility | | $4,548.74 | $8,163.00 | $9,696.00 |