- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.76 / $8,477.27 / $20,928.72
| Facility | | $489.76 | $8,477.27 | $20,928.72 |
- 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
- $1,387.40 / $1,387.40 / $1,387.40
| Facility | | $1,387.40 | $1,387.40 | $1,387.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $399.36 / $649.55 / $1,700.64
| Facility | | $399.36 | $649.55 | $1,700.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $806.40 / $1,164.47 / $1,664.87
| Facility | | $806.40 | $1,164.47 | $1,664.87 |
- 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 |