- 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
- $3,724.93 / $4,899.30 / $9,476.84
| Facility | | $3,724.93 | $4,899.30 | $9,476.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.48 / $300.75 / $2,299.61
| Facility | | $89.48 | $300.75 | $2,299.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $155.61 / $491.21 / $1,201.56
| Facility | | $155.61 | $491.21 | $1,201.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,562.00 / $2,743.00 / $6,043.00
| Facility | | $1,562.00 | $2,743.00 | $6,043.00 |