- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $253.10 / $453.34 / $7,158.01
| Facility | | $253.10 | $453.34 | $7,158.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,729.69 / $5,792.97 / $11,146.35
| Facility | | $2,729.69 | $5,792.97 | $11,146.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,094.38 / $1,552.77 / $3,735.39
| Facility | | $1,094.38 | $1,552.77 | $3,735.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $890.11 / $1,419.60 / $2,941.25
| Facility | | $890.11 | $1,419.60 | $2,941.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.89 / $561.82 / $1,212.20
| Facility | | $269.89 | $561.82 | $1,212.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,412.00 / $6,900.83 / $9,468.59
| Facility | | $2,412.00 | $6,900.83 | $9,468.59 |