- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $1,122.02 / $7,762.47
| Facility | | $1,071.52 | $1,122.02 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $3,162.28 / $5,011.87
| Facility | | $1,445.44 | $3,162.28 | $5,011.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $1,202.26 / $2,238.72
| Facility | | $1,202.26 | $1,202.26 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $891.25 / $1,479.11
| Facility | | $660.69 | $891.25 | $1,479.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $645.65 / $6,025.60 / $16,982.44
| Facility | | $645.65 | $6,025.60 | $16,982.44 |