- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $7,585.78 / $11,220.18
| Facility | | $724.44 | $7,585.78 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $3,801.89 / $8,511.38
| Facility | | $1,548.82 | $3,801.89 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $707.95 / $2,041.74
| Facility | | $707.95 | $707.95 | $2,041.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $398.11 / $724.44
| Facility | | $269.15 | $398.11 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,754.23 / $11,220.18 / $17,378.01
| Facility | | $2,754.23 | $11,220.18 | $17,378.01 |