- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $1,949.84 / $17,782.79
| Facility | | $389.05 | $1,949.84 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $870.96 / $7,762.47
| Facility | | $501.19 | $870.96 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $933.25 / $4,168.69
| Facility | | $269.15 | $933.25 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $1,318.26 / $1,412.54
| Facility | | $891.25 | $1,318.26 | $1,412.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $1,000.00 / $3,715.35
| Facility | | $977.24 | $1,000.00 | $3,715.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $10,964.78 / $20,892.96
| Facility | | $7,079.46 | $10,964.78 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $11,220.18 / $21,379.62
| Facility | | $1,548.82 | $11,220.18 | $21,379.62 |