- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,506.15 / $5,463.36 / $13,841.56
| Facility | | $1,506.15 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,665.88 / $3,864.78 / $6,782.44
| Facility | | $2,665.88 | $3,864.78 | $6,782.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.77 / $306.77 / $631.75
| Facility | | $91.77 | $306.77 | $631.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $217.40 / $646.00 / $924.50
| Facility | | $217.40 | $646.00 | $924.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,134.92 / $1,549.22 / $6,043.00
| Facility | | $1,134.92 | $1,549.22 | $6,043.00 |