- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $2,511.89 / $5,754.40
| Facility | | $524.81 | $2,511.89 | $5,754.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $1,548.82 / $3,235.94
| Facility | | $758.58 | $1,548.82 | $3,235.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $2,754.23 / $4,677.35
| Facility | | $1,698.24 | $2,754.23 | $4,677.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.83 / $380.19 / $1,905.46
| Facility | | $131.83 | $380.19 | $1,905.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $2,398.83 / $4,677.35
| Facility | | $1,445.44 | $2,398.83 | $4,677.35 |