- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,027.19 / $8,355.33 / $19,276.96
| Facility | | $3,027.19 | $8,355.33 | $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
- $286.81 / $527.89 / $3,047.38
| Facility | | $286.81 | $527.89 | $3,047.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.79 / $810.05 / $1,844.64
| Facility | | $537.79 | $810.05 | $1,844.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |