- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691.83 / $3,311.31 / $8,317.64
| Facility | | $691.83 | $3,311.31 | $8,317.64 |
- 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
- $1,819.70 / $7,244.36 / $15,848.93
| Facility | | $1,819.70 | $7,244.36 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $2,570.40 / $8,317.64
| Facility | | $616.60 | $2,570.40 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $501.19 / $831.76
| Facility | | $501.19 | $501.19 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $309.03 / $416.87
| Facility | | $309.03 | $309.03 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $3,981.07 / $10,964.78
| Facility | | $2,089.30 | $3,981.07 | $10,964.78 |