- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $1,380.38 / $7,762.47
| Facility | | $281.84 | $1,380.38 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $3,162.28 / $5,011.87
| Facility | | $1,479.11 | $3,162.28 | $5,011.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $331.13 / $1,023.29
| Facility | | $331.13 | $331.13 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $309.03 / $575.44
| Facility | | $194.98 | $309.03 | $575.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $3,467.37 / $8,317.64
| Facility | | $562.34 | $3,467.37 | $8,317.64 |