- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $2,344.23 / $4,897.79
| Facility | | $251.19 | $2,344.23 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $25,118.86 / $31,622.78
| Facility | | $10,471.29 | $25,118.86 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $234.42 / $263.03
| Facility | | $223.87 | $234.42 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $380.19 / $501.19
| Facility | | $245.47 | $380.19 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,290.87 / $9,549.93 / $16,218.10
| Facility | | $2,290.87 | $9,549.93 | $16,218.10 |