- 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
- $6,531.27 / $8,851.54 / $16,616.63
| Facility | | $6,531.27 | $8,851.54 | $16,616.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.37 / $516.02 / $1,242.00
| Facility | | $316.37 | $516.02 | $1,242.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $470.93 / $678.07 / $1,000.59
| Facility | | $470.93 | $678.07 | $1,000.59 |
- 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 |