- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $630.96 / $1,479.11
| Facility | | $575.44 | $630.96 | $1,479.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $6,456.54 / $14,791.08
| Facility | | $1,548.82 | $6,456.54 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $2,290.87 / $5,495.41
| Facility | | $1,621.81 | $2,290.87 | $5,495.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.28 / $2,187.76 / $4,265.80
| Facility | | $1,778.28 | $2,187.76 | $4,265.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $1,023.29 / $1,862.09
| Facility | | $588.84 | $1,023.29 | $1,862.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $3,467.37 / $7,079.46
| Facility | | $1,348.96 | $3,467.37 | $7,079.46 |