- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,650.53 / $8,355.33 / $19,276.96
| Facility | | $1,650.53 | $8,355.33 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,003.91 / $9,212.06 / $17,819.09
| Facility | | $7,003.91 | $9,212.06 | $17,819.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,802.85 / $1,802.85 / $1,802.85
| Facility | | $1,802.85 | $1,802.85 | $1,802.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.84 / $650.72 / $4,767.99
| Facility | | $371.84 | $650.72 | $4,767.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $619.62 / $1,001.97 / $2,256.42
| Facility | | $619.62 | $1,001.97 | $2,256.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |