- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $925.78 / $925.78 / $7,888.00
| Facility | | $925.78 | $925.78 | $7,888.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,760.91 / $31,731.72 / $71,686.41
| Facility | | $4,760.91 | $31,731.72 | $71,686.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,475.41 / $3,510.44 / $8,444.85
| Facility | | $2,475.41 | $3,510.44 | $8,444.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,012.33 / $3,209.39 / $6,649.49
| Facility | | $2,012.33 | $3,209.39 | $6,649.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,261.41 / $1,772.17 / $3,065.38
| Facility | | $1,261.41 | $1,772.17 | $3,065.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $563.00 / $1,749.00 / $2,883.00
| Facility | | $563.00 | $1,749.00 | $2,883.00 |