- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,691.53 / $4,570.88 / $8,511.38
| Facility | | $2,691.53 | $4,570.88 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,905.46 / $6,025.60 / $33,884.42
| Facility | | $1,905.46 | $6,025.60 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $1,445.44 / $6,456.54
| Facility | | $446.68 | $1,445.44 | $6,456.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $2,818.38 / $7,762.47
| Facility | | $1,122.02 | $2,818.38 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.25 / $5,011.87 / $13,182.57
| Facility | | $776.25 | $5,011.87 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,905.46 / $6,025.60 / $33,884.42
| Facility | | $1,905.46 | $6,025.60 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,659.59 / $5,370.32 / $13,182.57
| Facility | | $1,659.59 | $5,370.32 | $13,182.57 |