- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,041.74 / $9,120.11 / $16,595.87
| Facility | | $2,041.74 | $9,120.11 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $9,332.54 / $17,378.01
| Facility | | $3,981.07 | $9,332.54 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $3,715.35 / $4,786.30
| Facility | | $575.44 | $3,715.35 | $4,786.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691.83 / $1,047.13 / $1,778.28
| Facility | | $691.83 | $1,047.13 | $1,778.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $17,378.01 / $26,302.68
| Facility | | $6,309.57 | $17,378.01 | $26,302.68 |