- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $3,890.45 / $18,620.87
| Facility | | $1,513.56 | $3,890.45 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $4,897.79 / $40,738.03
| Facility | | $2,238.72 | $4,897.79 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $12,302.69 / $21,877.62
| Facility | | $1,071.52 | $12,302.69 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $933.25 / $13,489.63
| Facility | | $426.58 | $933.25 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $6,918.31 / $29,512.09
| Facility | | $4,570.88 | $6,918.31 | $29,512.09 |