- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $2,454.71 / $4,073.80
| Facility | | $144.54 | $2,454.71 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $3,630.78 / $8,709.64
| Facility | | $1,621.81 | $3,630.78 | $8,709.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $562.34 / $1,318.26
| Facility | | $346.74 | $562.34 | $1,318.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $537.03 / $1,047.13
| Facility | | $426.58 | $537.03 | $1,047.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $251.19 / $3,019.95
| Facility | | $147.91 | $251.19 | $3,019.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $3,467.37 / $6,760.83
| Facility | | $1,230.27 | $3,467.37 | $6,760.83 |