- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $5,754.40 / $14,125.38
| Facility | | $512.86 | $5,754.40 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,890.45 / $5,754.40 / $8,317.64
| Facility | | $3,890.45 | $5,754.40 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $12,589.25 / $15,848.93
| Facility | | $10,715.19 | $12,589.25 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $389.05 / $1,905.46
| Facility | | $194.98 | $389.05 | $1,905.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $537.03 / $5,011.87
| Facility | | $190.55 | $537.03 | $5,011.87 |