- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.80 / $2,818.38 / $9,772.37
| Facility | | $213.80 | $2,818.38 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $10,715.19 / $11,220.18
| Facility | | $5,888.44 | $10,715.19 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $199.53 / $239.88
| Facility | | $141.25 | $199.53 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $269.15 / $269.15
| Facility | | $34.67 | $269.15 | $269.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $5,011.87 / $12,302.69
| Facility | | $977.24 | $5,011.87 | $12,302.69 |