- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $232.10 / $373.45 / $10,072.31
| Facility | | $232.10 | $373.45 | $10,072.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,207.83 / $5,064.68 / $11,441.84
| Facility | | $1,207.83 | $5,064.68 | $11,441.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $879.33 / $1,372.41 / $3,301.51
| Facility | | $879.33 | $1,372.41 | $3,301.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $762.02 / $1,210.01 / $2,599.61
| Facility | | $762.02 | $1,210.01 | $2,599.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $314.12 / $521.13 / $1,119.33
| Facility | | $314.12 | $521.13 | $1,119.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,224.00 / $3,500.00 / $6,361.00
| Facility | | $1,224.00 | $3,500.00 | $6,361.00 |