- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $276.14 / $7,119.04 / $19,276.96
| Facility | | $276.14 | $7,119.04 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,609.82 / $6,063.17 / $11,728.12
| Facility | | $4,609.82 | $6,063.17 | $11,728.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,802.85 / $1,802.85 / $1,802.85
| Facility | | $1,802.85 | $1,802.85 | $1,802.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $164.06 / $311.20 / $894.05
| Facility | | $164.06 | $311.20 | $894.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $340.61 / $657.92 / $2,163.42
| Facility | | $340.61 | $657.92 | $2,163.42 |
- 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 |