- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $5,623.41 / $30,199.52
| Facility | | $1,513.56 | $5,623.41 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $8,128.31 / $11,748.98
| Facility | | $2,454.71 | $8,128.31 | $11,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $26,302.68 / $35,481.34
| Facility | | $24,547.09 | $26,302.68 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $794.33 / $22,908.68
| Facility | | $281.84 | $794.33 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691.83 / $12,022.64 / $28,840.32
| Facility | | $691.83 | $12,022.64 | $28,840.32 |