- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $1,778.28 / $8,511.38
| Facility | | $144.54 | $1,778.28 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $10,715.19 / $11,220.18
| Facility | | $9,549.93 | $10,715.19 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $125.89 / $177.83
| Facility | | $102.33 | $125.89 | $177.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $204.17 / $204.17
| Facility | | $34.67 | $204.17 | $204.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $1,348.96 / $5,248.07
| Facility | | $524.81 | $1,348.96 | $5,248.07 |