- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $6,456.54 / $8,128.31
| Facility | | $309.03 | $6,456.54 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $7,079.46 / $16,218.10
| Facility | | $4,677.35 | $7,079.46 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.96 / $1,230.27 / $2,951.21
| Facility | | $870.96 | $1,230.27 | $2,951.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $1,202.26 / $2,344.23
| Facility | | $954.99 | $1,202.26 | $2,344.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $1,905.46 / $8,511.38
| Facility | | $457.09 | $1,905.46 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $6,456.54 / $10,715.19
| Facility | | $3,311.31 | $6,456.54 | $10,715.19 |