- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $510.58 / $1,009.49 / $14,464.32
| Facility | | $510.58 | $1,009.49 | $14,464.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,555.63 / $13,744.57 / $28,049.69
| Facility | | $2,555.63 | $13,744.57 | $28,049.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,585.08 / $3,585.08 / $5,972.71
| Facility | | $3,585.08 | $3,585.08 | $5,972.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.59 / $759.64 / $4,505.89
| Facility | | $389.59 | $759.64 | $4,505.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $470.93 / $727.62 / $780.55
| Facility | | $470.93 | $727.62 | $780.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $517.78 / $532.41 / $2,173.03
| Facility | | $517.78 | $532.41 | $2,173.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,508.65 / $14,655.16 / $28,049.69
| Facility | | $9,508.65 | $14,655.16 | $28,049.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $2,431.00 / $11,261.00
| Facility | | $1,550.00 | $2,431.00 | $11,261.00 |