- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $486.04 / $1,265.40 / $7,675.76
| Facility | | $486.04 | $1,265.40 | $7,675.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,750.60 / $5,762.11 / $12,749.70
| Facility | | $1,750.60 | $5,762.11 | $12,749.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,500.91 / $2,128.48 / $5,120.35
| Facility | | $1,500.91 | $2,128.48 | $5,120.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,220.14 / $1,945.94 / $4,031.78
| Facility | | $1,220.14 | $1,945.94 | $4,031.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $771.00 / $1,247.58 / $5,204.00
| Facility | | $771.00 | $1,247.58 | $5,204.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,293.00 / $6,652.00 / $9,810.00
| Facility | | $3,293.00 | $6,652.00 | $9,810.00 |