- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $349.64 / $5,077.28 / $8,391.67
| Facility | | $349.64 | $5,077.28 | $8,391.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.15 / $1,627.07 / $2,761.08
| Facility | | $1,479.15 | $1,627.07 | $2,761.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $495.36 / $1,436.38 / $2,709.73
| Facility | | $495.36 | $1,436.38 | $2,709.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.18 / $291.00 / $442.81
| Facility | | $113.18 | $291.00 | $442.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $773.00 / $1,224.00 / $9,324.00
| Facility | | $773.00 | $1,224.00 | $9,324.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $651.41 / $7,929.30 / $26,542.00
| Facility | | $651.41 | $7,929.30 | $26,542.00 |