- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $3,548.13 / $12,022.64
| Facility | | $812.83 | $3,548.13 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $3,630.78 / $6,760.83
| Facility | | $1,819.70 | $3,630.78 | $6,760.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $208.93 / $213.80
| Facility | | $79.43 | $208.93 | $213.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $45,708.82 / $45,708.82
| Facility | | $6,760.83 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $467.74 / $2,570.40
| Facility | | $223.87 | $467.74 | $2,570.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.80 / $416.87 / $741.31
| Facility | | $213.80 | $416.87 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $4,073.80 / $8,912.51
| Facility | | $1,380.38 | $4,073.80 | $8,912.51 |