- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $1,380.38 / $9,120.11
| Facility | | $457.09 | $1,380.38 | $9,120.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $28,183.83 / $39,810.72
| Facility | | $5,128.61 | $28,183.83 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $416.87 / $467.74
| Facility | | $371.54 | $416.87 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $4,677.35 / $5,623.41
| Facility | | $4,677.35 | $4,677.35 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $6,025.60 / $12,022.64
| Facility | | $3,388.44 | $6,025.60 | $12,022.64 |