- 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
- $3,350.61 / $4,406.97 / $8,524.51
| Facility | | $3,350.61 | $4,406.97 | $8,524.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $895.29 / $1,566.76 / $2,500.21
| Facility | | $895.29 | $1,566.76 | $2,500.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,130.33 / $2,176.83 / $3,050.28
| Facility | | $1,130.33 | $2,176.83 | $3,050.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.00 / $1,775.00 / $4,406.00
| Facility | | $1,031.00 | $1,775.00 | $4,406.00 |