- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,318.31 / $5,463.36 / $13,841.56
| Facility | | $2,318.31 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,551.47 / $5,148.63 / $9,035.51
| Facility | | $3,551.47 | $5,148.63 | $9,035.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $735.73 / $1,250.74 / $2,049.67
| Facility | | $735.73 | $1,250.74 | $2,049.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.33 / $1,840.20 / $5,251.23
| Facility | | $1,252.33 | $1,840.20 | $5,251.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |