- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $7,762.47 / $16,218.10
| Facility | | $812.83 | $7,762.47 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $11,220.18 / $26,302.68
| Facility | | $2,089.30 | $11,220.18 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,290.87 / $3,235.94 / $7,585.78
| Facility | | $2,290.87 | $3,235.94 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $3,090.30 / $6,025.60
| Facility | | $2,454.71 | $3,090.30 | $6,025.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $2,454.71 / $14,125.38
| Facility | | $1,202.26 | $2,454.71 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $8,709.64 / $15,135.61
| Facility | | $3,311.31 | $8,709.64 | $15,135.61 |