- 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
- $1,322.41 / $1,739.33 / $3,364.42
| Facility | | $1,322.41 | $1,739.33 | $3,364.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $172.64 / $1,096.46 / $1,730.67
| Facility | | $172.64 | $1,096.46 | $1,730.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $324.61 / $1,425.89 / $2,200.98
| Facility | | $324.61 | $1,425.89 | $2,200.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.00 / $1,775.00 / $4,406.00
| Facility | | $1,031.00 | $1,775.00 | $4,406.00 |