- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $4,897.79 / $9,549.93
| Facility | | $426.58 | $4,897.79 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $11,481.54 / $26,915.35
| Facility | | $1,348.96 | $11,481.54 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $1,621.81 / $3,890.45
| Facility | | $1,023.29 | $1,621.81 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $933.25 / $933.25 / $933.25
| Facility | 22 | $933.25 | $933.25 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $1,548.82 / $3,090.30
| Facility | | $1,258.93 | $1,548.82 | $3,090.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $933.25 / $4,786.30
| Facility | | $457.09 | $933.25 | $4,786.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $5,248.07 / $9,332.54
| Facility | | $1,445.44 | $5,248.07 | $9,332.54 |