- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $3,090.30 / $11,220.18
| Facility | | $524.81 | $3,090.30 | $11,220.18 |
- 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
- $389.05 / $407.38 / $457.09
| Facility | | $389.05 | $407.38 | $457.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $676.08 / $1,862.09
| Facility | | $616.60 | $676.08 | $1,862.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $5,623.41 / $10,715.19
| Facility | | $2,137.96 | $5,623.41 | $10,715.19 |