- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.28 / $3,630.78 / $7,762.47
| Facility | | $1,778.28 | $3,630.78 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $1,479.11 / $2,691.53
| Facility | | $549.54 | $1,479.11 | $2,691.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $2,089.30 / $3,467.37
| Facility | | $1,584.89 | $2,089.30 | $3,467.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $398.11 / $549.54 / $3,715.35
| Facility | | $398.11 | $549.54 | $3,715.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.54 / $3,235.94 / $5,370.32
| Facility | | $1,412.54 | $3,235.94 | $5,370.32 |