- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691.83 / $5,128.61 / $15,848.93
| Facility | | $691.83 | $5,128.61 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $660.69 / $794.33
| Facility | | $660.69 | $660.69 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $1,071.52 / $1,862.09
| Facility | | $1,071.52 | $1,071.52 | $1,862.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $1,513.56 / $1,995.26
| Facility | | $1,513.56 | $1,513.56 | $1,995.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $1,230.27 / $4,466.84
| Facility | | $1,230.27 | $1,230.27 | $4,466.84 |