- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,318.31 / $4,518.60 / $13,841.56
| Facility | | $2,318.31 | $4,518.60 | $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
- $224.20 / $400.73 / $2,361.42
| Facility | | $224.20 | $400.73 | $2,361.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $450.13 / $639.04 / $1,522.92
| Facility | | $450.13 | $639.04 | $1,522.92 |
- 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 |