- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,709.13 / $5,605.76 / $13,841.56
| Facility | | $2,709.13 | $5,605.76 | $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
- $481.95 / $819.32 / $1,535.31
| Facility | | $481.95 | $819.32 | $1,535.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $948.76 / $1,199.23 / $2,440.29
| Facility | | $948.76 | $1,199.23 | $2,440.29 |
- 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 |