- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,506.15 / $5,909.48 / $24,068.03
| Facility | | $1,506.15 | $5,909.48 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,906.94 / $7,769.24 / $15,028.22
| Facility | | $5,906.94 | $7,769.24 | $15,028.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,916.50 / $2,916.50 / $2,916.50
| Facility | | $2,916.50 | $2,916.50 | $2,916.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $336.48 / $603.40 / $6,509.00
| Facility | | $336.48 | $603.40 | $6,509.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $544.85 / $841.03 / $3,701.41
| Facility | | $544.85 | $841.03 | $3,701.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |