- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $7,943.28 / $20,892.96
| Facility | | $707.95 | $7,943.28 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $2,344.23 / $3,890.45
| Facility | | $2,344.23 | $2,344.23 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $891.25 / $8,317.64
| Facility | | $489.78 | $891.25 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $724.44 / $758.58
| Facility | | $562.34 | $724.44 | $758.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $512.86 / $512.86
| Facility | | $501.19 | $512.86 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $9,772.37 / $19,054.61
| Facility | | $6,606.93 | $9,772.37 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $12,302.69 / $20,892.96
| Facility | | $1,995.26 | $12,302.69 | $20,892.96 |