- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $2,187.76 / $9,120.11
| Facility | | $275.42 | $2,187.76 | $9,120.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $8,317.64 / $10,964.78
| Facility | | $3,801.89 | $8,317.64 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $234.42 / $269.15
| Facility | | $223.87 | $234.42 | $269.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $758.58 / $1,862.09
| Facility | | $389.05 | $758.58 | $1,862.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $6,025.60 / $10,715.19
| Facility | | $2,137.96 | $6,025.60 | $10,715.19 |