- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $210.71 / $906.31 / $11,244.65
| Facility | | $210.71 | $906.31 | $11,244.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,074.28 / $7,615.59 / $17,676.25
| Facility | | $1,074.28 | $7,615.59 | $17,676.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,342.34 / $3,321.72 / $7,990.86
| Facility | | $2,342.34 | $3,321.72 | $7,990.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,904.15 / $3,036.85 / $6,292.01
| Facility | | $1,904.15 | $3,036.85 | $6,292.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $356.10 / $1,531.66 / $5,499.00
| Facility | | $356.10 | $1,531.66 | $5,499.00 |
- 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 |