- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $7,943.28 / $17,378.01
| Facility | | $676.08 | $7,943.28 | $17,378.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $346.74 / $776.25 / $977.24
| Professional | | $346.74 | $776.25 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $741.31 / $20,417.38
| Facility | | $512.86 | $741.31 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $724.44 / $758.58
| Facility | | $630.96 | $724.44 | $758.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $537.03 / $977.24
| Facility | | $436.52 | $537.03 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $77,624.71 / $97,723.72
| Facility | | $61,659.50 | $77,624.71 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $74,131.02 / $93,325.43
| Facility | | $41,686.94 | $74,131.02 | $93,325.43 |