- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $542.63 / $10,977.72 / $24,068.03
| Facility | | $542.63 | $10,977.72 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,609.82 / $6,063.17 / $11,728.12
| Facility | | $4,609.82 | $6,063.17 | $11,728.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,802.85 / $1,802.85 / $1,802.85
| Facility | | $1,802.85 | $1,802.85 | $1,802.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $437.77 / $695.93 / $2,363.65
| Facility | | $437.77 | $695.93 | $2,363.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $898.11 / $1,293.30 / $2,256.42
| Facility | | $898.11 | $1,293.30 | $2,256.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,231.39 / $5,356.00 / $7,934.00
| Facility | | $2,231.39 | $5,356.00 | $7,934.00 |