- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $7,943.28 / $13,182.57
| Facility | | $537.03 | $7,943.28 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $1,479.11 / $1,659.59
| Facility | | $1,479.11 | $1,479.11 | $1,659.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.08 / $489.78 / $630.96
| Professional | | $363.08 | $489.78 | $630.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $371.54 / $794.33
| Facility | | $263.03 | $371.54 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $512.86 / $537.03
| Facility | | $436.52 | $512.86 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $371.54 / $660.69
| Facility | | $245.47 | $371.54 | $660.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $6,025.60 / $7,244.36
| Facility | | $4,365.16 | $6,025.60 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $5,495.41 / $7,413.10
| Facility | | $1,548.82 | $5,495.41 | $7,413.10 |