- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.89 / $6,309.57 / $30,902.95
| Facility | | $2,511.89 | $6,309.57 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $14,791.08 / $20,892.96
| Facility | | $8,912.51 | $14,791.08 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,715.35 / $16,982.44 / $27,542.29
| Facility | | $3,715.35 | $16,982.44 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $645.65 / $3,235.94 / $30,199.52
| Facility | | $645.65 | $3,235.94 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,162.28 / $4,897.79 / $25,118.86
| Facility | | $3,162.28 | $4,897.79 | $25,118.86 |