- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,318.26 / $10,471.29 / $18,197.01
| Facility | | $1,318.26 | $10,471.29 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $1,548.82 / $2,884.03
| Facility | | $977.24 | $1,548.82 | $2,884.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $1,230.27 / $1,584.89
| Facility | | $707.95 | $1,230.27 | $1,584.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $691.83 / $1,148.15
| Facility | | $501.19 | $691.83 | $1,148.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $3,890.45 / $7,943.28
| Facility | | $1,122.02 | $3,890.45 | $7,943.28 |