- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.61 / $1,023.29 / $8,511.38
| Facility | | $67.61 | $1,023.29 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $11,220.18 / $28,183.83
| Facility | | $3,467.37 | $11,220.18 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $3,715.35 / $8,912.51
| Facility | | $2,630.27 | $3,715.35 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $3,548.13 / $6,918.31
| Facility | | $2,884.03 | $3,548.13 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $2,089.30 / $10,715.19
| Facility | | $1,071.52 | $2,089.30 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $9,332.54 / $13,182.57
| Facility | | $5,623.41 | $9,332.54 | $13,182.57 |