- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $493.67 / $8,397.08 / $14,833.44
| Facility | | $493.67 | $8,397.08 | $14,833.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,263.30 / $8,859.76 / $22,922.83
| Facility | | $2,263.30 | $8,859.76 | $22,922.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,380.38 / $2,380.38 / $3,965.68
| Facility | | $2,380.38 | $2,380.38 | $3,965.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $458.38 / $770.98 / $2,679.56
| Facility | | $458.38 | $770.98 | $2,679.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.67 / $734.32 / $895.79
| Facility | | $523.67 | $734.32 | $895.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $597.51 / $611.01 / $1,367.95
| Facility | | $597.51 | $611.01 | $1,367.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,745.15 / $8,854.69 / $16,947.71
| Facility | | $5,745.15 | $8,854.69 | $16,947.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $2,431.00 / $11,261.00
| Facility | | $1,550.00 | $2,431.00 | $11,261.00 |