- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $407.38 / $9,332.54
| Facility | | $186.21 | $407.38 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,715.35 / $8,317.64 / $10,471.29
| Facility | | $3,715.35 | $8,317.64 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $158.49 / $177.83
| Facility | | $151.36 | $158.49 | $177.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $616.60 / $1,862.09
| Facility | | $269.15 | $616.60 | $1,862.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.54 / $3,715.35 / $6,456.54
| Facility | | $1,412.54 | $3,715.35 | $6,456.54 |