- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,653.00 / $5,463.36 / $13,841.56
| Facility | | $1,653.00 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,309.18 / $4,352.47 / $8,419.09
| Facility | | $3,309.18 | $4,352.47 | $8,419.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $272.66 / $677.71 / $5,243.53
| Facility | | $272.66 | $677.71 | $5,243.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $465.05 / $968.64 / $3,613.66
| Facility | | $465.05 | $968.64 | $3,613.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |