- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.89 / $8,128.31 / $24,547.09
| Facility | | $2,511.89 | $8,128.31 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $7,943.28 / $15,848.93
| Facility | | $4,570.88 | $7,943.28 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $1,862.09 / $7,413.10
| Facility | | $66.07 | $1,862.09 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $11,220.18 / $13,182.57
| Facility | | $1,479.11 | $11,220.18 | $13,182.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $309.03 / $354.81 / $575.44
| Professional | | $309.03 | $354.81 | $575.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $288.40 / $380.19 / $724.44
| Professional | | $288.40 | $380.19 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $28,840.32 / $28,840.32
| Facility | | $5,623.41 | $28,840.32 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $489.78 / $776.25
| Facility | | $371.54 | $489.78 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $4,265.80 / $9,772.37
| Facility | | $2,344.23 | $4,265.80 | $9,772.37 |