- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $684.59 / $1,291.44 / $14,464.32
| Facility | | $684.59 | $1,291.44 | $14,464.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,732.32 / $9,172.83 / $17,546.59
| Facility | | $1,732.32 | $9,172.83 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $3,740.43
| Facility | | $625.25 | $761.81 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $442.64 / $832.35 / $2,806.97
| Facility | | $442.64 | $832.35 | $2,806.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $658.07 / $1,036.49 / $1,093.44
| Facility | | $658.07 | $1,036.49 | $1,093.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $740.66 / $744.45 / $2,961.46
| Facility | | $740.66 | $744.45 | $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 / $2,408.00 / $10,522.00
| Facility | | $1,547.00 | $2,408.00 | $10,522.00 |