- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $2,344.23 / $4,897.79
| Facility | | $234.42 | $2,344.23 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $14,454.40 / $19,498.45
| Facility | | $6,456.54 | $14,454.40 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $208.93 / $234.42
| Facility | | $199.53 | $208.93 | $234.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $281.84 / $446.68
| Facility | | $208.93 | $281.84 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.54 / $5,754.40 / $12,022.64
| Facility | | $1,412.54 | $5,754.40 | $12,022.64 |