- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,192.57 / $5,621.00 / $13,070.64
| Facility | | $1,192.57 | $5,621.00 | $13,070.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,337.06 / $7,264.09 / $12,337.09
| Facility | | $3,337.06 | $7,264.09 | $12,337.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $505.00 / $3,208.42 / $4,122.88
| Facility | | $505.00 | $3,208.42 | $4,122.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $956.38 / $1,319.33 / $2,158.09
| Facility | | $956.38 | $1,319.33 | $2,158.09 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $235.20 / $263.87 / $365.50
| Facility | 80 | $235.20 | $263.87 | $365.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $12,798.00 / $19,665.00
| Facility | | $2,155.00 | $12,798.00 | $19,665.00 |