- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $10,471.29 / $23,988.33
| Facility | | $5,011.87 | $10,471.29 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $11,481.54 / $17,782.79
| Facility | | $6,456.54 | $11,481.54 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $3,890.45 / $21,379.62
| Facility | | $66.07 | $3,890.45 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $13,489.63 / $14,791.08
| Facility | | $11,748.98 | $13,489.63 | $14,791.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $630.96 / $954.99 / $1,513.56
| Professional | | $630.96 | $954.99 | $1,513.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $977.24 / $1,288.25 / $2,344.23
| Professional | | $977.24 | $1,288.25 | $2,344.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $10,232.93 / $22,387.21
| Facility | | $2,818.38 | $10,232.93 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $1,479.11 / $2,344.23
| Facility | | $1,202.26 | $1,479.11 | $2,344.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $17,782.79 / $38,904.51
| Facility | | $9,772.37 | $17,782.79 | $38,904.51 |