- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $686.90 / $6,872.40 / $8,661.66
| Facility | | $686.90 | $6,872.40 | $8,661.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,930.58 / $5,631.43 / $11,503.06
| Facility | | $2,930.58 | $5,631.43 | $11,503.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,670.19 / $2,369.76 / $5,700.78
| Facility | | $1,670.19 | $2,369.76 | $5,700.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.36 / $2,166.53 / $4,488.80
| Facility | | $1,518.36 | $2,166.53 | $4,488.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $753.64 / $1,398.42 / $6,927.00
| Facility | | $753.64 | $1,398.42 | $6,927.00 |
- 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 |