- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $410.10 / $563.04 / $8,110.53
| Facility | | $410.10 | $563.04 | $8,110.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,016.63 / $5,396.85 / $11,503.06
| Facility | | $2,016.63 | $5,396.85 | $11,503.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,375.55 / $1,951.71 / $4,695.09
| Facility | | $1,375.55 | $1,951.71 | $4,695.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,250.50 / $1,784.33 / $3,696.93
| Facility | | $1,250.50 | $1,784.33 | $3,696.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $506.38 / $849.64 / $1,656.32
| Facility | | $506.38 | $849.64 | $1,656.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,121.00 / $5,499.00 / $9,810.00
| Facility | | $3,121.00 | $5,499.00 | $9,810.00 |