- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $4,786.30 / $8,511.38
| Facility | | $912.01 | $4,786.30 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $7,585.78 / $57,543.99
| Facility | | $6,456.54 | $7,585.78 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.40 / $7,244.36 / $22,908.68
| Facility | | $2,570.40 | $7,244.36 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $3,801.89 / $8,317.64
| Facility | | $912.01 | $3,801.89 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $251.19 / $2,238.72
| Facility | | $251.19 | $251.19 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $691.83 / $1,122.02
| Facility | | $194.98 | $691.83 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $3,981.07 / $10,964.78
| Facility | | $2,137.96 | $3,981.07 | $10,964.78 |