- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,691.53 / $3,630.78 / $8,511.38
| Facility | | $2,691.53 | $3,630.78 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $32,359.37
| Facility | | $630.96 | $2,041.74 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $15,848.93 / $21,877.62
| Facility | | $7,762.47 | $15,848.93 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $4,897.79 / $9,772.37
| Facility | | $83.18 | $4,897.79 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $35,481.34
| Facility | | $630.96 | $2,041.74 | $35,481.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16,982.44 / $19,498.45 / $21,379.62
| Professional | | $16,982.44 | $19,498.45 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $32,359.37
| Facility | | $630.96 | $2,041.74 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $1,862.09 / $32,359.37
| Facility | | $630.96 | $1,862.09 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33,113.11 / $33,113.11 / $33,113.11
| Professional | | $33,113.11 | $33,113.11 | $33,113.11 |