- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $837.33 / $982.40 / $9,436.83
| Facility | | $837.33 | $982.40 | $9,436.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,083.23 / $6,134.65 / $11,503.06
| Facility | | $3,083.23 | $6,134.65 | $11,503.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,033.02 / $2,884.56 / $6,939.20
| Facility | | $2,033.02 | $2,884.56 | $6,939.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,848.20 / $2,637.18 / $5,463.94
| Facility | | $1,848.20 | $2,637.18 | $5,463.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $868.81 / $1,453.38 / $3,936.60
| Facility | | $868.81 | $1,453.38 | $3,936.60 |
- 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 |