- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.35 / $943.38 / $14,464.32
| Facility | | $400.35 | $943.38 | $14,464.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,012.24 / $8,052.47 / $15,403.47
| Facility | | $1,012.24 | $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
- $263.97 / $514.70 / $2,136.38
| Facility | | $263.97 | $514.70 | $2,136.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $397.05 / $662.70 / $726.28
| Facility | | $397.05 | $662.70 | $726.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $494.22 / $495.39 / $2,218.36
| Facility | | $494.22 | $495.39 | $2,218.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,899.91 / $8,047.87 / $15,403.47
| Facility | | $4,899.91 | $8,047.87 | $15,403.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,547.00 / $2,408.00 / $10,522.00
| Facility | | $1,547.00 | $2,408.00 | $10,522.00 |