- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,083.97 / $8,477.27 / $19,276.96
| Facility | | $4,083.97 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,335.87 / $4,387.57 / $8,486.99
| Facility | | $3,335.87 | $4,387.57 | $8,486.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $719.92 / $1,453.24 / $3,399.76
| Facility | | $719.92 | $1,453.24 | $3,399.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,464.00 / $1,864.07 / $2,415.28
| Facility | | $1,464.00 | $1,864.07 | $2,415.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,044.00 / $3,726.00 / $7,934.00
| Facility | | $3,044.00 | $3,726.00 | $7,934.00 |