- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.91 / $603.64 / $4,046.00
| Facility | | $400.91 | $603.64 | $4,046.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,677.15 / $6,337.44 / $10,342.87
| Facility | | $3,677.15 | $6,337.44 | $10,342.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,451.31 / $2,059.21 / $4,953.70
| Facility | | $1,451.31 | $2,059.21 | $4,953.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,319.38 / $1,882.61 / $3,900.55
| Facility | | $1,319.38 | $1,882.61 | $3,900.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $414.83 / $835.63 / $1,623.59
| Facility | | $414.83 | $835.63 | $1,623.59 |
- 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 |