- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $473.76 / $1,183.41 / $14,464.32
| Facility | | $473.76 | $1,183.41 | $14,464.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,799.58 / $8,052.47 / $15,403.47
| Facility | | $1,799.58 | $8,052.47 | $15,403.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $568.48 / $2,846.84
| Facility | | $466.83 | $568.48 | $2,846.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $313.20 / $619.86 / $2,136.38
| Facility | | $313.20 | $619.86 | $2,136.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $487.09 / $832.81 / $888.42
| Facility | | $487.09 | $832.81 | $888.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $603.40 / $605.98 / $2,218.36
| Facility | | $603.40 | $605.98 | $2,218.36 |
- 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
- $2,408.00 / $10,236.34 / $16,373.27
| Facility | | $2,408.00 | $10,236.34 | $16,373.27 |