- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $436.52 / $7,762.47
| Facility | | $181.97 | $436.52 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $6,456.54 / $10,232.93
| Facility | | $2,344.23 | $6,456.54 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $1,288.25 / $1,288.25
| Facility | | $1,288.25 | $1,288.25 | $1,288.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.71 / $223.87 / $371.54
| Facility | | $104.71 | $223.87 | $371.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $645.65 / $6,025.60 / $10,471.29
| Facility | | $645.65 | $6,025.60 | $10,471.29 |