- 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 / $1,792.20 / $3,364.42
| Facility | | $1,322.41 | $1,792.20 | $3,364.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $192.40 / $672.77 / $1,036.65
| Facility | | $192.40 | $672.77 | $1,036.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $349.39 / $964.64 / $1,474.26
| Facility | | $349.39 | $964.64 | $1,474.26 |
- 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 |