- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $5,495.41 / $10,471.29
| Facility | | $181.97 | $5,495.41 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $6,918.31 / $7,585.78
| Facility | | $3,311.31 | $6,918.31 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $912.01 / $912.01
| Facility | | $912.01 | $912.01 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.62 / $117.49 / $549.54
| Facility | | $77.62 | $117.49 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $524.81 / $1,905.46
| Facility | | $165.96 | $524.81 | $1,905.46 |