- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $3,630.78 / $8,317.64
| Facility | | $512.86 | $3,630.78 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $2,630.27 / $2,754.23
| Facility | | $1,148.15 | $2,630.27 | $2,754.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $9,772.37 / $9,772.37
| Facility | | $9,772.37 | $9,772.37 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $1,659.59 / $16,218.10
| Facility | | $295.12 | $1,659.59 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $2,884.03 / $6,309.57
| Facility | | $1,862.09 | $2,884.03 | $6,309.57 |