- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $4,677.35 / $16,595.87
| Facility | | $436.52 | $4,677.35 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $436.52 / $537.03
| Facility | | $436.52 | $436.52 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $707.95 / $2,290.87
| Facility | | $707.95 | $707.95 | $2,290.87 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $851.14 / $851.14 / $851.14
| Facility | 22 | $851.14 | $851.14 | $851.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $10,232.93 / $19,498.45
| Facility | | $6,165.95 | $10,232.93 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $2,454.71 / $15,135.61
| Facility | | $2,454.71 | $2,454.71 | $15,135.61 |