- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $729.17 / $6,732.70 / $15,531.91
| Facility | | $729.17 | $6,732.70 | $15,531.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,593.93 / $16,192.78 / $36,581.76
| Facility | | $3,593.93 | $16,192.78 | $36,581.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,938.05 / $2,748.39 / $6,611.64
| Facility | | $1,938.05 | $2,748.39 | $6,611.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,575.49 / $2,512.69 / $5,206.01
| Facility | | $1,575.49 | $2,512.69 | $5,206.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,229.07 / $2,250.23 / $12,051.00
| Facility | | $1,229.07 | $2,250.23 | $12,051.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,577.00 / $10,743.00 / $12,774.00
| Facility | | $5,577.00 | $10,743.00 | $12,774.00 |