- 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
- $1,132.08 / $1,534.27 / $2,880.22
| Facility | | $1,132.08 | $1,534.27 | $2,880.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $159.31 / $390.49 / $543.89
| Facility | | $159.31 | $390.49 | $543.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $287.47 / $481.65 / $743.15
| Facility | | $287.47 | $481.65 | $743.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,775.00 / $3,227.00 / $6,169.00
| Facility | | $1,775.00 | $3,227.00 | $6,169.00 |