- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,083.01 / $8,355.33 / $19,276.96
| Facility | | $3,083.01 | $8,355.33 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,009.30 / $3,958.05 / $7,656.16
| Facility | | $3,009.30 | $3,958.05 | $7,656.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,387.40 / $1,387.40 / $1,387.40
| Facility | | $1,387.40 | $1,387.40 | $1,387.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $421.72 / $748.75 / $4,217.00
| Facility | | $421.72 | $748.75 | $4,217.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $805.00 / $1,133.55 / $1,757.37
| Facility | | $805.00 | $1,133.55 | $1,757.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |