- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $707.95 / $4,897.79
| Facility | | $524.81 | $707.95 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $4,265.80 / $8,317.64
| Facility | | $1,995.26 | $4,265.80 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $467.74 / $537.03
| Facility | | $426.58 | $467.74 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $645.65 / $977.24
| Facility | | $467.74 | $645.65 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $2,137.96 / $5,754.40
| Facility | | $199.53 | $2,137.96 | $5,754.40 |