- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $2,818.38 / $8,511.38
| Facility | | $190.55 | $2,818.38 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $10,715.19 / $11,220.18
| Facility | | $9,549.93 | $10,715.19 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $245.47 / $295.12
| Facility | | $169.82 | $245.47 | $295.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $281.84 / $331.13
| Facility | | $34.67 | $281.84 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $602.56 / $3,162.28
| Facility | | $50.12 | $602.56 | $3,162.28 |