- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,318.31 / $6,324.65 / $13,841.56
| Facility | | $2,318.31 | $6,324.65 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,232.51 / $1,670.37 / $3,135.72
| Facility | | $1,232.51 | $1,670.37 | $3,135.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.28 / $350.29 / $4,493.00
| Facility | | $194.28 | $350.29 | $4,493.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $364.64 / $489.24 / $1,476.40
| Facility | | $364.64 | $489.24 | $1,476.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,044.00 / $3,726.00 / $7,934.00
| Facility | | $3,044.00 | $3,726.00 | $7,934.00 |