- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $5,495.41 / $9,120.11
| Facility | | $457.09 | $5,495.41 | $9,120.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $3,890.45 / $4,073.80
| Facility | | $1,288.25 | $3,890.45 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $1,122.02 / $1,949.84
| Facility | | $1,122.02 | $1,122.02 | $1,949.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $380.19 / $5,623.41
| Facility | | $263.03 | $380.19 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $2,454.71 / $4,677.35
| Facility | | $1,445.44 | $2,454.71 | $4,677.35 |