- 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
- $3,449.64 / $4,675.14 / $8,776.44
| Facility | | $3,449.64 | $4,675.14 | $8,776.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $206.75 / $812.16 / $2,025.49
| Facility | | $206.75 | $812.16 | $2,025.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.32 / $1,089.90 / $1,625.77
| Facility | | $424.32 | $1,089.90 | $1,625.77 |
- 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 |