- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $515.05 / $5,149.18 / $9,984.81
| Facility | | $515.05 | $5,149.18 | $9,984.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,400.98 / $9,232.28 / $20,505.30
| Facility | | $2,400.98 | $9,232.28 | $20,505.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,232.23 / $1,747.46 / $4,203.75
| Facility | | $1,232.23 | $1,747.46 | $4,203.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,001.72 / $1,597.60 / $3,310.04
| Facility | | $1,001.72 | $1,597.60 | $3,310.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $717.24 / $1,066.22 / $10,831.00
| Facility | | $717.24 | $1,066.22 | $10,831.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,577.00 / $10,743.00 / $12,774.00
| Facility | | $5,577.00 | $10,743.00 | $12,774.00 |