- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $2,951.21 / $7,413.10
| Facility | | $794.33 | $2,951.21 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $3,715.35 / $7,244.36
| Facility | | $1,995.26 | $3,715.35 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $436.52 / $467.74
| Facility | | $436.52 | $436.52 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $1,819.70 / $2,187.76
| Facility | | $741.31 | $1,819.70 | $2,187.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $28,840.32 / $28,840.32
| Facility | | $7,943.28 | $28,840.32 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $562.34 / $1,862.09
| Facility | | $389.05 | $562.34 | $1,862.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $524.81 / $933.25
| Facility | | $371.54 | $524.81 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $3,981.07 / $8,511.38
| Facility | | $1,380.38 | $3,981.07 | $8,511.38 |