- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $20,928.72
| Facility | | $4,241.22 | $10,431.19 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,605.99 / $31,992.18 / $60,057.49
| Facility | | $23,605.99 | $31,992.18 | $60,057.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,320.40 / $2,076.46 / $7,856.00
| Facility | | $1,320.40 | $2,076.46 | $7,856.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,381.11 / $2,993.42 / $4,198.47
| Facility | | $2,381.11 | $2,993.42 | $4,198.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,054.00 / $4,317.00 / $13,909.00
| Facility | | $3,054.00 | $4,317.00 | $13,909.00 |