- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $3,019.95 / $9,772.37
| Facility | | $281.84 | $3,019.95 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $6,165.95 / $57,543.99
| Facility | | $5,011.87 | $6,165.95 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $8,317.64 / $15,135.61
| Facility | | $2,398.83 | $8,317.64 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $2,691.53 / $9,120.11
| Facility | | $426.58 | $2,691.53 | $9,120.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.80 / $213.80 / $302.00
| Facility | | $213.80 | $213.80 | $302.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $186.21 / $912.01
| Facility | | $147.91 | $186.21 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $3,548.13 / $10,000.00
| Facility | | $1,348.96 | $3,548.13 | $10,000.00 |