- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,506.15 / $5,909.48 / $13,841.56
| Facility | | $1,506.15 | $5,909.48 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,100.60 / $4,495.00 / $7,888.43
| Facility | | $3,100.60 | $4,495.00 | $7,888.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127.14 / $348.14 / $789.44
| Facility | | $127.14 | $348.14 | $789.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $248.85 / $712.08 / $1,455.69
| Facility | | $248.85 | $712.08 | $1,455.69 |
- 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 |