- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $11,220.18 / $17,378.01
| Facility | | $309.03 | $11,220.18 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $10,232.93 / $18,197.01
| Facility | | $204.17 | $10,232.93 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $1,023.29 / $2,454.71
| Facility | | $724.44 | $1,023.29 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $588.84 / $588.84 / $588.84
| Facility | 22 | $588.84 | $588.84 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $977.24 / $1,905.46
| Facility | | $794.33 | $977.24 | $1,905.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $1,949.84 / $17,378.01
| Facility | | $489.78 | $1,949.84 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $1,862.09 / $3,715.35
| Facility | | $1,096.48 | $1,862.09 | $3,715.35 |