- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $5,248.07 / $19,498.45
| Facility | | $588.84 | $5,248.07 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $52,480.75 / $54,954.09
| Facility | | $43,651.58 | $52,480.75 | $54,954.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $288.40 / $346.74 / $426.58
| Professional | | $288.40 | $346.74 | $426.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537.03 / $660.69 / $776.25
| Professional | | $537.03 | $660.69 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $549.54 / $776.25
| Facility | | $331.13 | $549.54 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $501.19 / $30,199.52
| Facility | | $316.23 | $501.19 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $29,512.09 / $61,659.50
| Facility | | $10,964.78 | $29,512.09 | $61,659.50 |