- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,506.15 / $4,241.22 / $13,841.56
| Facility | | $1,506.15 | $4,241.22 | $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
- $381.20 / $1,775.00 / $4,317.00
| Facility | | $381.20 | $1,775.00 | $4,317.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $692.87 / $3,146.81 / $4,713.89
| Facility | | $692.87 | $3,146.81 | $4,713.89 |
- 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 |