- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $3,715.35 / $7,244.36
| Facility | | $446.68 | $3,715.35 | $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 / $281.84 / $316.23
| Facility | | $251.19 | $281.84 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $478.63 / $933.25
| Facility | | $269.15 | $478.63 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,691.53 / $6,025.60 / $10,715.19
| Facility | | $2,691.53 | $6,025.60 | $10,715.19 |