- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $1,778.28 / $8,511.38
| Facility | | $489.78 | $1,778.28 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $11,220.18 / $35,481.34
| Facility | | $10,715.19 | $11,220.18 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $457.09 / $549.54
| Facility | | $323.59 | $457.09 | $549.54 |
- 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
- $1,174.90 / $14,125.38 / $33,113.11
| Facility | | $1,174.90 | $14,125.38 | $33,113.11 |