- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $4,466.84 / $11,748.98
| Facility | | $346.74 | $4,466.84 | $11,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $1,995.26 / $4,786.30
| Facility | | $1.00 | $1,995.26 | $4,786.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $6,456.54 / $15,488.17
| Facility | | $4,466.84 | $6,456.54 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $6,165.95 / $12,022.64
| Facility | | $5,011.87 | $6,165.95 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $1,445.44 / $4,570.88
| Facility | | $537.03 | $1,445.44 | $4,570.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $1,862.09 / $3,388.44
| Facility | | $977.24 | $1,862.09 | $3,388.44 |