- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $2,290.87 / $3,548.13
| Facility | | $97.72 | $2,290.87 | $3,548.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $3,630.78 / $7,079.46
| Facility | | $2,089.30 | $3,630.78 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $331.13 / $776.25
| Facility | | $234.42 | $331.13 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $316.23 / $616.60
| Facility | | $251.19 | $316.23 | $616.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $870.96 / $3,981.07
| Facility | | $158.49 | $870.96 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $3,162.28 / $5,495.41
| Facility | | $1,584.89 | $3,162.28 | $5,495.41 |