- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $542.02 / $7,119.04 / $19,276.96
| Facility | | $542.02 | $7,119.04 | $19,276.96 |
- 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
- $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
- $455.04 / $722.40 / $1,952.36
| Facility | | $455.04 | $722.40 | $1,952.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $920.66 / $1,288.94 / $2,842.49
| Facility | | $920.66 | $1,288.94 | $2,842.49 |
- 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 |