- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,506.15 / $5,463.36 / $13,841.56
| Facility | | $1,506.15 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,917.24 / $2,521.69 / $4,877.78
| Facility | | $1,917.24 | $2,521.69 | $4,877.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.03 / $156.44 / $475.35
| Facility | | $92.03 | $156.44 | $475.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.53 / $231.81 / $321.20
| Facility | | $186.53 | $231.81 | $321.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,056.00 / $1,527.00 / $4,317.00
| Facility | | $1,056.00 | $1,527.00 | $4,317.00 |