- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $3,467.37 / $14,125.38
| Facility | | $457.09 | $3,467.37 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $18,197.01 / $26,302.68
| Facility | | $4,365.16 | $18,197.01 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $398.11 / $416.87 / $467.74
| Facility | | $398.11 | $416.87 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $588.84 / $870.96
| Facility | | $416.87 | $588.84 | $870.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $6,025.60 / $10,715.19
| Facility | | $3,388.44 | $6,025.60 | $10,715.19 |