- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.22 / $3,259.50 / $5,083.38
| Facility | | $530.22 | $3,259.50 | $5,083.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $453.24 / $1,828.86 / $3,635.94
| Facility | | $453.24 | $1,828.86 | $3,635.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $330.41 / $474.32 / $744.10
| Facility | | $330.41 | $474.32 | $744.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $773.00 / $1,208.00 / $9,324.00
| Facility | | $773.00 | $1,208.00 | $9,324.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,139.62 / $10,639.60 / $16,394.00
| Facility | | $2,139.62 | $10,639.60 | $16,394.00 |