- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $3,981.07 / $18,620.87
| Facility | | $1,174.90 | $3,981.07 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $11,748.98 / $52,480.75
| Facility | | $10,715.19 | $11,748.98 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $1,202.26 / $1,445.44
| Facility | | $851.14 | $1,202.26 | $1,445.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $1,548.82 / $1,548.82
| Facility | | $1,258.93 | $1,548.82 | $1,548.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,659.59 / $8,511.38 / $33,113.11
| Facility | | $1,659.59 | $8,511.38 | $33,113.11 |