- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,087.56 / $4,241.22 / $13,841.56
| Facility | | $1,087.56 | $4,241.22 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,531.27 / $9,468.52 / $16,616.63
| Facility | | $6,531.27 | $9,468.52 | $16,616.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $340.69 / $561.40 / $973.97
| Facility | | $340.69 | $561.40 | $973.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $686.00 / $1,013.09 / $2,308.06
| Facility | | $686.00 | $1,013.09 | $2,308.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,044.00 / $3,726.00 / $7,934.00
| Facility | | $3,044.00 | $3,726.00 | $7,934.00 |