- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $499.68 / $4,778.89 / $13,841.56
| Facility | | $499.68 | $4,778.89 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,952.65 / $9,144.62 / $17,688.66
| Facility | | $6,952.65 | $9,144.62 | $17,688.66 |
- 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
- $373.49 / $669.86 / $1,622.48
| Facility | | $373.49 | $669.86 | $1,622.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $754.72 / $1,141.92 / $3,529.19
| Facility | | $754.72 | $1,141.92 | $3,529.19 |
- 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 |