- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $8,912.51 / $16,595.87
| Facility | | $1,258.93 | $8,912.51 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $10,471.29 / $19,498.45
| Facility | | $4,265.80 | $10,471.29 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $3,630.78 / $4,677.35
| Facility | | $707.95 | $3,630.78 | $4,677.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $1,148.15 / $2,041.74
| Facility | | $851.14 | $1,148.15 | $2,041.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $20,417.38 / $25,703.96
| Facility | | $8,709.64 | $20,417.38 | $25,703.96 |