- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $307.77 / $4,416.72 / $13,841.56
| Facility | | $307.77 | $4,416.72 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,712.35 / $6,198.03 / $11,988.99
| Facility | | $4,712.35 | $6,198.03 | $11,988.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,257.44 / $1,257.44 / $1,257.44
| Facility | | $1,257.44 | $1,257.44 | $1,257.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $202.42 / $392.49 / $1,093.65
| Facility | | $202.42 | $392.49 | $1,093.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $405.38 / $723.76 / $1,508.92
| Facility | | $405.38 | $723.76 | $1,508.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |