- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $314.62 / $7,838.38 / $8,763.29
| Facility | | $314.62 | $7,838.38 | $8,763.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,703.05 / $8,392.32 / $13,362.65
| Facility | | $2,703.05 | $8,392.32 | $13,362.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $270.06 / $270.06 / $1,656.16
| Facility | | $270.06 | $270.06 | $1,656.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $152.65 / $246.90 / $369.81
| Facility | | $152.65 | $246.90 | $369.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $755.00 / $3,085.00 / $5,060.00
| Facility | | $755.00 | $3,085.00 | $5,060.00 |