- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $9,120.11 / $18,197.01
| Facility | | $1,023.29 | $9,120.11 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.28 / $3,981.07 / $7,079.46
| Facility | | $1,778.28 | $3,981.07 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $812.83 / $2,290.87
| Facility | | $660.69 | $812.83 | $2,290.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $501.19 / $501.19 / $891.25
| Professional | | $501.19 | $501.19 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $478.63 / $977.24
| Facility | | $380.19 | $478.63 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $6,760.83 / $10,471.29
| Facility | | $1,479.11 | $6,760.83 | $10,471.29 |