- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $2,398.83 / $7,585.78
| Facility | | $467.74 | $2,398.83 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $147.91 / $407.38
| Facility | | $109.65 | $147.91 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $12,302.69 / $21,379.62
| Facility | | $5,623.41 | $12,302.69 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $7,585.78 / $7,585.78
| Facility | | $7,585.78 | $7,585.78 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $6,918.31 / $39,810.72
| Facility | | $323.59 | $6,918.31 | $39,810.72 |