- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,659.59 / $5,128.61 / $23,988.33
| Facility | | $1,659.59 | $5,128.61 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $1,479.11 / $29,512.09
| Facility | | $1,479.11 | $1,479.11 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,715.35 / $16,982.44 / $33,884.42
| Facility | | $3,715.35 | $16,982.44 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $3,630.78 / $28,840.32
| Facility | | $1,071.52 | $3,630.78 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $4,466.84 / $23,442.29
| Facility | | $3,388.44 | $4,466.84 | $23,442.29 |