- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $457.09 / $7,079.46
| Facility | | $251.19 | $457.09 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,548.13 / $6,760.83 / $18,620.87
| Facility | | $3,548.13 | $6,760.83 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $1,621.81 / $3,890.45
| Facility | | $1,122.02 | $1,621.81 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $1,548.82 / $3,090.30
| Facility | | $1,258.93 | $1,548.82 | $3,090.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $549.54 / $2,238.72
| Facility | | $263.03 | $549.54 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $4,786.30 / $8,912.51
| Facility | | $2,398.83 | $4,786.30 | $8,912.51 |