- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $3,548.13 / $11,748.98
| Facility | | $891.25 | $3,548.13 | $11,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $2,187.76 / $4,570.88
| Facility | | $1,348.96 | $2,187.76 | $4,570.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $162.18 / $575.44
| Facility | | $162.18 | $162.18 | $575.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.30 / $45,708.82 / $45,708.82
| Facility | | $4,786.30 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $831.76 / $3,981.07
| Facility | | $588.84 | $831.76 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $776.25 / $1,230.27
| Facility | | $575.44 | $776.25 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $2,511.89 / $4,786.30
| Facility | | $724.44 | $2,511.89 | $4,786.30 |