- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.99 / $891.99 / $14,190.47
| Facility | | $891.99 | $891.99 | $14,190.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,105.28 / $12,446.60 / $25,424.06
| Facility | | $4,105.28 | $12,446.60 | $25,424.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,172.76 / $3,082.84 / $7,416.18
| Facility | | $2,172.76 | $3,082.84 | $7,416.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,975.24 / $2,818.45 / $5,839.51
| Facility | | $1,975.24 | $2,818.45 | $5,839.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $909.33 / $1,529.95 / $5,331.00
| Facility | | $909.33 | $1,529.95 | $5,331.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,940.00 / $7,872.00 / $11,531.00
| Facility | | $3,940.00 | $7,872.00 | $11,531.00 |