- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.97 / $2,966.66 / $11,753.48
| Facility | | $512.97 | $2,966.66 | $11,753.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,305.11 / $5,939.08 / $11,503.06
| Facility | | $2,305.11 | $5,939.08 | $11,503.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,254.33 / $1,779.71 / $4,281.33
| Facility | | $1,254.33 | $1,779.71 | $4,281.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,140.30 / $1,627.08 / $3,371.13
| Facility | | $1,140.30 | $1,627.08 | $3,371.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $481.62 / $878.24 / $4,671.00
| Facility | | $481.62 | $878.24 | $4,671.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,412.00 / $4,746.00 / $8,812.00
| Facility | | $2,412.00 | $4,746.00 | $8,812.00 |