- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $3,801.89 / $8,317.64
| Facility | | $346.74 | $3,801.89 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $6,165.95 / $57,543.99
| Facility | | $5,011.87 | $6,165.95 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $1,445.44 / $4,466.84
| Facility | | $1,445.44 | $1,445.44 | $4,466.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $3,235.94 / $7,762.47
| Facility | | $588.84 | $3,235.94 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $223.87 / $323.59
| Facility | | $223.87 | $223.87 | $323.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $223.87 / $478.63
| Facility | | $154.88 | $223.87 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $645.65 / $4,265.80
| Facility | | $144.54 | $645.65 | $4,265.80 |