- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $3,801.89 / $7,244.36
| Facility | | $562.34 | $3,801.89 | $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
- $338.84 / $346.74 / $398.11
| Facility | | $338.84 | $346.74 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $549.54 / $977.24
| Facility | | $354.81 | $549.54 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,235.94 / $6,025.60 / $10,715.19
| Facility | | $3,235.94 | $6,025.60 | $10,715.19 |