- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565.26 / $1,360.78 / $7,838.38
| Facility | | $565.26 | $1,360.78 | $7,838.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,363.84 / $7,916.43 / $12,604.93
| Facility | | $2,363.84 | $7,916.43 | $12,604.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.86 / $400.86 / $2,222.25
| Facility | | $400.86 | $400.86 | $2,222.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $334.81 / $517.64 / $705.38
| Facility | | $334.81 | $517.64 | $705.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $936.00 / $6,599.00 / $7,158.00
| Facility | | $936.00 | $6,599.00 | $7,158.00 |