- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $439.06 / $2,194.42 / $6,985.81
| Facility | | $439.06 | $2,194.42 | $6,985.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,650.30 / $1,815.33 / $3,080.56
| Facility | | $1,650.30 | $1,815.33 | $3,080.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.69 / $1,436.38 / $2,709.73
| Facility | | $500.69 | $1,436.38 | $2,709.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $439.06 / $607.40 / $725.37
| Facility | | $439.06 | $607.40 | $725.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $773.00 / $1,208.00 / $9,324.00
| Facility | | $773.00 | $1,208.00 | $9,324.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $2,476.14 / $7,929.30
| Facility | | $55.00 | $2,476.14 | $7,929.30 |