- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $203.16 / $4,778.89 / $13,841.56
| Facility | | $203.16 | $4,778.89 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $720.55 / $947.72 / $1,833.19
| Facility | | $720.55 | $947.72 | $1,833.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.81 / $233.63 / $380.88
| Facility | | $65.81 | $233.63 | $380.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121.17 / $363.35 / $548.86
| Facility | | $121.17 | $363.35 | $548.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.00 / $1,775.00 / $4,406.00
| Facility | | $1,031.00 | $1,775.00 | $4,406.00 |