- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $1,995.26 / $4,466.84
| Facility | | $512.86 | $1,995.26 | $4,466.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,235.94 / $7,413.10 / $14,454.40
| Facility | | $3,235.94 | $7,413.10 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $2,041.74 / $4,897.79
| Facility | | $1,445.44 | $2,041.74 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $1,949.84 / $3,890.45
| Facility | | $1,584.89 | $1,949.84 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691.83 / $1,122.02 / $7,762.47
| Facility | | $691.83 | $1,122.02 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,235.94 / $5,248.07 / $8,912.51
| Facility | | $3,235.94 | $5,248.07 | $8,912.51 |