- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.86 / $611.51 / $12,761.09
| Facility | | $424.86 | $611.51 | $12,761.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,373.48 / $5,572.33 / $10,098.06
| Facility | | $3,373.48 | $5,572.33 | $10,098.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,542.19 / $2,187.01 / $5,261.15
| Facility | | $1,542.19 | $2,187.01 | $5,261.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,253.69 / $1,999.45 / $4,142.64
| Facility | | $1,253.69 | $1,999.45 | $4,142.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $505.77 / $947.84 / $4,974.00
| Facility | | $505.77 | $947.84 | $4,974.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,735.00 / $4,974.00 / $8,812.00
| Facility | | $2,735.00 | $4,974.00 | $8,812.00 |