- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $3,467.37 / $12,022.64
| Facility | | $912.01 | $3,467.37 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $9,549.93 / $18,620.87
| Facility | | $5,370.32 | $9,549.93 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $794.33 / $812.83
| Facility | | $79.43 | $794.33 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $45,708.82 / $45,708.82
| Facility | | $25,703.96 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $1,148.15 / $3,890.45
| Facility | | $758.58 | $1,148.15 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $1,023.29 / $1,862.09
| Facility | | $724.44 | $1,023.29 | $1,862.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $8,317.64 / $17,378.01
| Facility | | $2,630.27 | $8,317.64 | $17,378.01 |