- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $543.78 / $4,241.22 / $13,841.56
| Facility | | $543.78 | $4,241.22 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,003.91 / $9,212.06 / $17,819.09
| Facility | | $7,003.91 | $9,212.06 | $17,819.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,368.73 / $2,368.73 / $2,368.73
| Facility | | $2,368.73 | $2,368.73 | $2,368.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $249.27 / $473.61 / $5,405.32
| Facility | | $249.27 | $473.61 | $5,405.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.85 / $710.83 / $2,961.89
| Facility | | $500.85 | $710.83 | $2,961.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,038.98 / $4,803.10 / $7,772.00
| Facility | | $4,038.98 | $4,803.10 | $7,772.00 |