- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $4,897.79 / $16,218.10
| Facility | | $245.47 | $4,897.79 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $8,709.64 / $11,220.18
| Facility | | $4,265.80 | $8,709.64 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $181.97 / $204.17
| Facility | | $173.78 | $181.97 | $204.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $281.84 / $549.54
| Facility | | $177.83 | $281.84 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $3,715.35 / $6,456.54
| Facility | | $1,380.38 | $3,715.35 | $6,456.54 |