- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $1,258.93 / $7,244.36
| Facility | | $363.08 | $1,258.93 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $13,803.84 / $19,054.61
| Facility | | $2,344.23 | $13,803.84 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $251.19 / $257.04
| Facility | | $251.19 | $251.19 | $257.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $389.05 / $660.69
| Facility | | $245.47 | $389.05 | $660.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $6,025.60 / $10,715.19
| Facility | | $2,398.83 | $6,025.60 | $10,715.19 |