- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $954.99 / $5,623.41
| Facility | | $141.25 | $954.99 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $8,317.64 / $10,471.29
| Facility | | $2,187.76 | $8,317.64 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $112.20 / $125.89
| Facility | | $89.13 | $112.20 | $125.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $177.83 / $338.84
| Facility | | $102.33 | $177.83 | $338.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $6,025.60 / $10,715.19
| Facility | | $1,698.24 | $6,025.60 | $10,715.19 |