- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $3,311.31 / $4,786.30
| Facility | | $489.78 | $3,311.31 | $4,786.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,090.30 / $7,413.10 / $14,791.08
| Facility | | $3,090.30 | $7,413.10 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $1,905.46 / $4,570.88
| Facility | | $1,202.26 | $1,905.46 | $4,570.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $1,819.70 / $3,548.13
| Facility | | $1,479.11 | $1,819.70 | $3,548.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $776.25 / $1,698.24
| Facility | | $478.63 | $776.25 | $1,698.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $5,888.44 / $9,120.11
| Facility | | $1,621.81 | $5,888.44 | $9,120.11 |