- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.61 / $7,119.04 / $20,928.72
| Facility | | $226.61 | $7,119.04 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,281.85 / $5,631.80 / $10,893.72
| Facility | | $4,281.85 | $5,631.80 | $10,893.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $273.36 / $558.90 / $1,485.20
| Facility | | $273.36 | $558.90 | $1,485.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533.37 / $924.33 / $1,484.78
| Facility | | $533.37 | $924.33 | $1,484.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,044.00 / $3,726.00 / $7,934.00
| Facility | | $3,044.00 | $3,726.00 | $7,934.00 |