- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $607.44 / $607.44 / $7,403.35
| Facility | | $607.44 | $607.44 | $7,403.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $516.88 / $28,203.62 / $53,224.17
| Facility | | $516.88 | $28,203.62 | $53,224.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.55 / $2,146.40 / $5,163.45
| Facility | | $1,513.55 | $2,146.40 | $5,163.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.41 / $1,962.32 / $4,065.71
| Facility | | $1,230.41 | $1,962.32 | $4,065.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $931.92 / $1,251.04 / $12,051.00
| Facility | | $931.92 | $1,251.04 | $12,051.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,577.00 / $10,743.00 / $12,774.00
| Facility | | $5,577.00 | $10,743.00 | $12,774.00 |