- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $6,025.60 / $10,232.93
| Facility | | $489.78 | $6,025.60 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $5,248.07 / $57,543.99
| Facility | | $5,011.87 | $5,248.07 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $7,585.78 / $13,803.84
| Facility | | $3,311.31 | $7,585.78 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $5,754.40 / $10,232.93
| Facility | | $501.19 | $5,754.40 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $380.19 / $758.58
| Facility | | $380.19 | $380.19 | $758.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $354.81 / $758.58
| Facility | | $302.00 | $354.81 | $758.58 |
- 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 |