- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,166.29 / $5,909.48 / $13,841.56
| Facility | | $2,166.29 | $5,909.48 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,070.46 / $5,901.02 / $10,355.91
| Facility | | $4,070.46 | $5,901.02 | $10,355.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $276.69 / $470.37 / $883.77
| Facility | | $276.69 | $470.37 | $883.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $481.03 / $695.22 / $2,516.35
| Facility | | $481.03 | $695.22 | $2,516.35 |
- 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 |