- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $460.97 / $5,183.68 / $8,968.95
| Facility | | $460.97 | $5,183.68 | $8,968.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,477.13 / $8,005.33 / $16,510.18
| Facility | | $4,477.13 | $8,005.33 | $16,510.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,236.44 / $1,753.43 / $4,218.10
| Facility | | $1,236.44 | $1,753.43 | $4,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,005.14 / $1,603.06 / $3,321.35
| Facility | | $1,005.14 | $1,603.06 | $3,321.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.92 / $1,033.33 / $9,119.70
| Facility | | $715.92 | $1,033.33 | $9,119.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,293.00 / $6,652.00 / $9,810.00
| Facility | | $3,293.00 | $6,652.00 | $9,810.00 |