- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,905.46 / $3,981.07 / $8,128.31
| Facility | | $1,905.46 | $3,981.07 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $15,135.61 / $16,218.10
| Facility | | $9,772.37 | $15,135.61 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $501.19 / $501.19
| Facility | | $501.19 | $501.19 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $1,698.24 / $9,549.93
| Facility | | $1,047.13 | $1,698.24 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $4,265.80 / $10,471.29
| Facility | | $1,862.09 | $4,265.80 | $10,471.29 |