- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $3,019.95 / $5,623.41
| Facility | | $275.42 | $3,019.95 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $4,570.88 / $45,708.82
| Facility | | $354.81 | $4,570.88 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $177.83 / $416.87
| Facility | | $177.83 | $177.83 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $575.44 / $7,079.46
| Facility | | $147.91 | $575.44 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $3,630.78 / $8,511.38
| Facility | | $1,698.24 | $3,630.78 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,905.46 / $4,466.84 / $6,760.83
| Facility | | $1,905.46 | $4,466.84 | $6,760.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $4,570.88 / $45,708.82
| Facility | | $354.81 | $4,570.88 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $3,630.78 / $8,511.38
| Facility | | $1,584.89 | $3,630.78 | $8,511.38 |