- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $598.29 / $760.15 / $7,397.00
| Facility | | $598.29 | $760.15 | $7,397.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,426.57 / $4,428.85 / $8,639.27
| Facility | | $2,426.57 | $4,428.85 | $8,639.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,759.42 / $2,496.37 / $6,005.35
| Facility | | $1,759.42 | $2,496.37 | $6,005.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,431.02 / $2,282.28 / $4,728.63
| Facility | | $1,431.02 | $2,282.28 | $4,728.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $653.33 / $1,069.14 / $2,132.64
| Facility | | $653.33 | $1,069.14 | $2,132.64 |
- 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 |