- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,026.00 / $4,241.22 / $13,841.56
| Facility | | $1,026.00 | $4,241.22 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,514.19 / $3,306.85 / $6,396.51
| Facility | | $2,514.19 | $3,306.85 | $6,396.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.36 / $394.35 / $1,199.52
| Facility | | $213.36 | $394.35 | $1,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $328.98 / $473.28 / $791.43
| Facility | | $328.98 | $473.28 | $791.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,775.00 / $3,227.00 / $6,169.00
| Facility | | $1,775.00 | $3,227.00 | $6,169.00 |