- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $511.04 / $511.04 / $7,628.50
| Facility | | $511.04 | $511.04 | $7,628.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,105.15 / $3,825.02 / $8,281.67
| Facility | | $1,105.15 | $3,825.02 | $8,281.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,190.34 / $1,688.93 / $4,062.95
| Facility | | $1,190.34 | $1,688.93 | $4,062.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $968.17 / $1,544.09 / $3,199.18
| Facility | | $968.17 | $1,544.09 | $3,199.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $545.34 / $903.79 / $5,499.18
| Facility | | $545.34 | $903.79 | $5,499.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,735.00 / $4,974.00 / $8,812.00
| Facility | | $2,735.00 | $4,974.00 | $8,812.00 |