- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $3,548.13 / $18,620.87
| Facility | | $630.96 | $3,548.13 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $562.34 / $2,398.83
| Facility | | $467.74 | $562.34 | $2,398.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $676.08 / $2,041.74
| Facility | | $346.74 | $676.08 | $2,041.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $616.60 / $676.08
| Facility | | $501.19 | $616.60 | $676.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $457.09 / $537.03
| Facility | | $436.52 | $457.09 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $4,570.88 / $8,709.64
| Facility | | $3,311.31 | $4,570.88 | $8,709.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $5,495.41 / $9,120.11
| Facility | | $1,122.02 | $5,495.41 | $9,120.11 |