- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $2,818.38 / $9,120.11
| Facility | | $489.78 | $2,818.38 | $9,120.11 |
- 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
- $323.59 / $457.09 / $537.03
| Facility | | $323.59 | $457.09 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $616.60 / $616.60
| Facility | | $34.67 | $616.60 | $616.60 |
- 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 |