- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $299.50 / $3,662.96 / $8,033.13
| Facility | | $299.50 | $3,662.96 | $8,033.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,537.09 / $9,076.59 / $20,505.30
| Facility | | $1,537.09 | $9,076.59 | $20,505.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $702.55 / $1,096.49 / $2,637.76
| Facility | | $702.55 | $1,096.49 | $2,637.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $608.82 / $1,000.62 / $2,076.98
| Facility | | $608.82 | $1,000.62 | $2,076.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $344.47 / $644.01 / $5,400.52
| Facility | | $344.47 | $644.01 | $5,400.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,960.00 / $7,872.00 / $11,531.00
| Facility | | $2,960.00 | $7,872.00 | $11,531.00 |