- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $3,630.78 / $10,471.29
| Facility | | $933.25 | $3,630.78 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $741.31 / $5,370.32
| Facility | | $707.95 | $741.31 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $8,912.51 / $8,912.51
| Facility | | $630.96 | $8,912.51 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $1,122.02 / $5,888.44
| Facility | | $446.68 | $1,122.02 | $5,888.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $5,623.41 / $11,748.98
| Facility | | $2,818.38 | $5,623.41 | $11,748.98 |