- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $3,090.30 / $5,623.41
| Facility | | $426.58 | $3,090.30 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $1,778.28 / $5,370.32
| Facility | | $56.23 | $1,778.28 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $676.08 / $954.99
| Facility | | $50.12 | $676.08 | $954.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $812.83 / $7,079.46
| Facility | | $380.19 | $812.83 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $3,801.89 / $9,772.37
| Facility | | $524.81 | $3,801.89 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $1,778.28 / $5,370.32
| Facility | | $56.23 | $1,778.28 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $3,981.07 / $8,709.64
| Facility | | $1,071.52 | $3,981.07 | $8,709.64 |