- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $675.36 / $4,419.93 / $8,470.20
| Facility | | $675.36 | $4,419.93 | $8,470.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,097.78 / $7,824.33 / $17,676.25
| Facility | | $3,097.78 | $7,824.33 | $17,676.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,797.39 / $2,548.92 / $6,131.78
| Facility | | $1,797.39 | $2,548.92 | $6,131.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,461.15 / $2,330.33 / $4,828.18
| Facility | | $1,461.15 | $2,330.33 | $4,828.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.99 / $2,209.09 / $9,341.51
| Facility | | $1,000.99 | $2,209.09 | $9,341.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,940.00 / $8,689.00 / $11,531.00
| Facility | | $3,940.00 | $8,689.00 | $11,531.00 |