- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $2,818.38 / $8,511.38
| Facility | | $316.23 | $2,818.38 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $10,715.19 / $18,620.87
| Facility | | $9,332.54 | $10,715.19 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $416.87 / $537.03
| Facility | | $281.84 | $416.87 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $562.34 / $562.34
| Facility | | $34.67 | $562.34 | $562.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $4,466.84 / $30,199.52
| Facility | | $602.56 | $4,466.84 | $30,199.52 |