- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $4,897.79 / $7,244.36
| Facility | | $1,096.48 | $4,897.79 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $35,481.34 / $52,480.75
| Facility | | $2,818.38 | $35,481.34 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $933.25 / $1,071.52
| Facility | | $912.01 | $933.25 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $1,513.56 / $2,041.74
| Facility | | $954.99 | $1,513.56 | $2,041.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $9,549.93 / $16,595.87
| Facility | | $4,466.84 | $9,549.93 | $16,595.87 |