- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $1,412.54 / $7,943.28
| Facility | | $141.25 | $1,412.54 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $11,748.98 / $26,915.35
| Facility | | $2,454.71 | $11,748.98 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $549.54 / $1,318.26
| Facility | | $346.74 | $549.54 | $1,318.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $524.81 / $1,023.29
| Facility | | $426.58 | $524.81 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $257.04 / $2,290.87
| Facility | | $151.36 | $257.04 | $2,290.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $3,467.37 / $7,079.46
| Facility | | $1,230.27 | $3,467.37 | $7,079.46 |