- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $307.48 / $1,408.96 / $8,150.53
| Facility | | $307.48 | $1,408.96 | $8,150.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,295.48 / $6,361.34 / $12,294.94
| Facility | | $3,295.48 | $6,361.34 | $12,294.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $827.10 / $1,172.94 / $2,821.65
| Facility | | $827.10 | $1,172.94 | $2,821.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $672.38 / $1,072.33 / $2,221.78
| Facility | | $672.38 | $1,072.33 | $2,221.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $463.83 / $767.78 / $7,892.91
| Facility | | $463.83 | $767.78 | $7,892.91 |
- 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 |