- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $360.91 / $2,945.60 / $8,980.62
| Facility | | $360.91 | $2,945.60 | $8,980.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,994.25 / $3,640.66 / $7,003.05
| Facility | | $1,994.25 | $3,640.66 | $7,003.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $673.20 / $2,308.42 / $6,311.34
| Facility | | $673.20 | $2,308.42 | $6,311.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176.47 / $2,695.78 / $2,695.78
| Facility | | $176.47 | $2,695.78 | $2,695.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,262.52 / $26,542.00 / $26,542.00
| Facility | | $1,262.52 | $26,542.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $174.77 / $286.56 / $451.37
| Facility | | $174.77 | $286.56 | $451.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $174.77 / $286.56 / $455.95
| Facility | | $174.77 | $286.56 | $455.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,124.00 / $3,314.00 / $7,600.00
| Facility | | $1,124.00 | $3,314.00 | $7,600.00 |