- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $3,235.94 / $6,606.93
| Facility | | $933.25 | $3,235.94 | $6,606.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $9,120.11 / $13,182.57
| Facility | | $4,677.35 | $9,120.11 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $1,659.59 / $1,659.59
| Facility | | $39.81 | $1,659.59 | $1,659.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $812.83 / $3,162.28
| Facility | | $489.78 | $812.83 | $3,162.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $6,165.95 / $12,302.69
| Facility | | $1,122.02 | $6,165.95 | $12,302.69 |