- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $387.87 / $4,436.00 / $10,445.89
| Facility | | $387.87 | $4,436.00 | $10,445.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,233.39 / $7,330.37 / $13,991.02
| Facility | | $4,233.39 | $7,330.37 | $13,991.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,036.83 / $1,470.35 / $3,537.12
| Facility | | $1,036.83 | $1,470.35 | $3,537.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $842.87 / $1,344.25 / $2,785.14
| Facility | | $842.87 | $1,344.25 | $2,785.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $587.16 / $867.10 / $6,927.00
| Facility | | $587.16 | $867.10 | $6,927.00 |
- 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 |