- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $339.09 / $575.61 / $8,547.04
| Facility | | $339.09 | $575.61 | $8,547.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,544.34 / $3,435.18 / $5,761.70
| Facility | | $1,544.34 | $3,435.18 | $5,761.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,389.02 / $1,970.82 / $4,741.07
| Facility | | $1,389.02 | $1,970.82 | $4,741.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,129.76 / $1,801.80 / $3,733.13
| Facility | | $1,129.76 | $1,801.80 | $3,733.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.69 / $762.50 / $1,536.71
| Facility | | $371.69 | $762.50 | $1,536.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,187.00 / $2,872.00 / $4,241.00
| Facility | | $1,187.00 | $2,872.00 | $4,241.00 |