- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $933.25 / $5,370.32
| Facility | | $380.19 | $933.25 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $4,466.84 / $8,317.64
| Facility | | $2,089.30 | $4,466.84 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $338.84 / $389.05
| Facility | | $309.03 | $338.84 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $954.99 / $1,122.02
| Facility | | $954.99 | $954.99 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $2,818.38 / $4,265.80
| Facility | | $1,348.96 | $2,818.38 | $4,265.80 |