- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $738.77 / $5,350.50 / $20,680.40
| Facility | | $738.77 | $5,350.50 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,961.46 / $9,172.83 / $20,286.13
| Facility | | $2,961.46 | $9,172.83 | $20,286.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $3,740.43
| Facility | | $714.97 | $870.49 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $443.25 / $886.24 / $3,280.24
| Facility | | $443.25 | $886.24 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $582.61 / $782.46 / $817.36
| Facility | | $582.61 | $782.46 | $817.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $544.51 / $551.14 / $2,961.46
| Facility | | $544.51 | $551.14 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,948.17 / $9,167.59 / $17,546.59
| Facility | | $5,948.17 | $9,167.59 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,547.00 / $2,769.18 / $10,522.00
| Facility | | $1,547.00 | $2,769.18 | $10,522.00 |