- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $674.45 / $2,339.36 / $14,464.32
| Facility | | $674.45 | $2,339.36 | $14,464.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,968.10 / $9,879.37 / $18,898.13
| Facility | | $5,968.10 | $9,879.37 | $18,898.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,353.44 / $2,353.44 / $3,920.80
| Facility | | $2,353.44 | $2,353.44 | $3,920.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $453.65 / $827.21 / $5,967.13
| Facility | | $453.65 | $827.21 | $5,967.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $510.09 / $700.82 / $737.00
| Facility | | $510.09 | $700.82 | $737.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $485.62 / $502.70 / $1,470.05
| Facility | | $485.62 | $502.70 | $1,470.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,406.33 / $9,873.73 / $18,898.13
| Facility | | $6,406.33 | $9,873.73 | $18,898.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $3,509.00 / $17,644.00
| Facility | | $2,912.00 | $3,509.00 | $17,644.00 |