- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $340.22 / $5,116.62 / $15,502.80
| Facility | | $340.22 | $5,116.62 | $15,502.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,241.82 / $7,873.79 / $15,720.23
| Facility | | $1,241.82 | $7,873.79 | $15,720.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $644.92 / $1,110.00 / $2,846.84
| Facility | | $644.92 | $1,110.00 | $2,846.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $252.50 / $420.37 / $1,918.07
| Facility | | $252.50 | $420.37 | $1,918.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $355.77 / $622.44 / $1,756.22
| Facility | | $355.77 | $622.44 | $1,756.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $487.62 / $494.68 / $1,241.82
| Facility | | $487.62 | $494.68 | $1,241.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,221.67 / $8,047.87 / $15,403.47
| Facility | | $5,221.67 | $8,047.87 | $15,403.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,232.00 / $1,981.00 / $10,522.00
| Facility | | $1,232.00 | $1,981.00 | $10,522.00 |