- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $11,100.08 / $23,483.17
| Facility | | $5,463.36 | $11,100.08 | $23,483.17 |
- 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
- $812.32 / $1,278.74 / $7,856.00
| Facility | | $812.32 | $1,278.74 | $7,856.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,405.25 / $1,784.98 / $2,572.67
| Facility | | $1,405.25 | $1,784.98 | $2,572.67 |
- 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 |