- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $712.31 / $4,241.22 / $13,841.56
| Facility | | $712.31 | $4,241.22 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,064.08 / $4,152.62 / $7,795.52
| Facility | | $3,064.08 | $4,152.62 | $7,795.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143.63 / $1,004.54 / $2,808.18
| Facility | | $143.63 | $1,004.54 | $2,808.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.18 / $1,372.50 / $1,798.95
| Facility | | $288.18 | $1,372.50 | $1,798.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,679.00 / $3,167.00 / $7,934.00
| Facility | | $2,679.00 | $3,167.00 | $7,934.00 |