- 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
- $5,121.08 / $6,940.38 / $13,028.86
| Facility | | $5,121.08 | $6,940.38 | $13,028.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $472.54 / $764.37 / $4,217.00
| Facility | | $472.54 | $764.37 | $4,217.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $927.20 / $1,170.17 / $2,440.29
| Facility | | $927.20 | $1,170.17 | $2,440.29 |
- 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 |