- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $6,606.93 / $15,135.61
| Facility | | $851.14 | $6,606.93 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $6,165.95 / $13,182.57
| Facility | | $3,981.07 | $6,165.95 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $616.60 / $724.44
| Facility | | $446.68 | $616.60 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $831.76 / $3,311.31
| Facility | | $831.76 | $831.76 | $3,311.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $6,760.83 / $15,488.17
| Facility | | $1,174.90 | $6,760.83 | $15,488.17 |