- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $7,244.36 / $16,595.87
| Facility | | $501.19 | $7,244.36 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $3,311.31 / $8,709.64
| Facility | | $707.95 | $3,311.31 | $8,709.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $562.34 / $2,398.83
| Facility | | $316.23 | $562.34 | $2,398.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $251.19 / $398.11
| Facility | | $177.83 | $251.19 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $6,309.57 / $10,471.29
| Facility | | $616.60 | $6,309.57 | $10,471.29 |