- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.17 / $2,087.69 / $10,843.72
| Facility | | $478.17 | $2,087.69 | $10,843.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,060.00 / $7,344.00 / $10,517.23
| Facility | | $5,060.00 | $7,344.00 | $10,517.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,024.82 / $2,366.16 / $3,629.75
| Facility | | $2,024.82 | $2,366.16 | $3,629.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $567.01 / $900.95 / $2,079.12
| Facility | | $567.01 | $900.95 | $2,079.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $624.74 / $1,386.08 / $7,791.00
| Facility | | $624.74 | $1,386.08 | $7,791.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $567.01 / $900.95 / $2,079.12
| Facility | | $567.01 | $900.95 | $2,079.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,283.57 / $1,802.59 / $2,506.53
| Professional | | $1,283.57 | $1,802.59 | $2,506.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,098.51 / $1,468.15 / $4,070.10
| Facility | | $1,098.51 | $1,468.15 | $4,070.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,103.00 / $6,477.00 / $8,384.00
| Facility | | $4,103.00 | $6,477.00 | $8,384.00 |