- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $7,585.78 / $12,022.64
| Facility | | $501.19 | $7,585.78 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $4,365.16 / $16,982.44
| Facility | | $2,238.72 | $4,365.16 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $281.84 / $5,495.41
| Facility | | $245.47 | $281.84 | $5,495.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $562.34 / $6,760.83
| Facility | | $346.74 | $562.34 | $6,760.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $575.44 / $8,912.51
| Facility | | $446.68 | $575.44 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $7,413.10
| Facility | | $100.00 | $100.00 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $5,128.61 / $9,120.11
| Facility | | $933.25 | $5,128.61 | $9,120.11 |