- 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
- $3,449.64 / $5,001.01 / $8,776.44
| Facility | | $3,449.64 | $5,001.01 | $8,776.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $171.10 / $502.55 / $1,177.72
| Facility | | $171.10 | $502.55 | $1,177.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $437.72 / $802.17 / $1,398.63
| Facility | | $437.72 | $802.17 | $1,398.63 |
- 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 |