- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $408.92 / $590.30 / $4,557.00
| Facility | | $408.92 | $590.30 | $4,557.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,954.49 / $6,889.31 / $13,089.90
| Facility | | $3,954.49 | $6,889.31 | $13,089.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,443.74 / $2,048.46 / $4,927.84
| Facility | | $1,443.74 | $2,048.46 | $4,927.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,312.49 / $1,872.78 / $3,880.19
| Facility | | $1,312.49 | $1,872.78 | $3,880.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $552.66 / $843.08 / $1,623.68
| Facility | | $552.66 | $843.08 | $1,623.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,412.00 / $4,746.00 / $8,812.00
| Facility | | $2,412.00 | $4,746.00 | $8,812.00 |