- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $12,036.14 / $30,499.57
| Facility | | $5,463.36 | $12,036.14 | $30,499.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,547.24 / $20,448.87 / $39,554.72
| Facility | | $15,547.24 | $20,448.87 | $39,554.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $728.80 / $1,105.43 / $22,353.01
| Facility | | $728.80 | $1,105.43 | $22,353.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,145.77 / $1,382.83 / $1,656.95
| Facility | | $1,145.77 | $1,382.83 | $1,656.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,777.00 / $8,220.00 / $9,696.00
| Facility | | $6,777.00 | $8,220.00 | $9,696.00 |