- 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
- $7,184.40 / $10,415.37 / $18,278.29
| Facility | | $7,184.40 | $10,415.37 | $18,278.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $322.04 / $563.57 / $960.68
| Facility | | $322.04 | $563.57 | $960.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $681.00 / $1,017.45 / $4,831.43
| Facility | | $681.00 | $1,017.45 | $4,831.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |