- 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
- $3,309.18 / $4,352.47 / $8,419.09
| Facility | | $3,309.18 | $4,352.47 | $8,419.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.86 / $175.95 / $2,299.61
| Facility | | $82.86 | $175.95 | $2,299.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143.90 / $253.59 / $1,203.26
| Facility | | $143.90 | $253.59 | $1,203.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,775.00 / $3,227.00 / $6,169.00
| Facility | | $1,775.00 | $3,227.00 | $6,169.00 |