- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $229.09 / $7,762.47
| Facility | | $218.78 | $229.09 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $8,511.38 / $13,182.57
| Facility | | $3,311.31 | $8,511.38 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $3,801.89 / $3,801.89
| Facility | | $3,801.89 | $3,801.89 | $3,801.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $389.05 / $1,548.82
| Facility | | $186.21 | $389.05 | $1,548.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $1,096.48 / $1,412.54
| Facility | | $199.53 | $1,096.48 | $1,412.54 |