- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.60 / $8,409.15 / $19,276.96
| Facility | | $1,513.60 | $8,409.15 | $19,276.96 |
- 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
- $257.02 / $603.11 / $4,217.00
| Facility | | $257.02 | $603.11 | $4,217.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $482.54 / $890.10 / $2,929.96
| Facility | | $482.54 | $890.10 | $2,929.96 |
- 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 |