- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $469.16 / $1,230.73 / $17,496.53
| Facility | | $469.16 | $1,230.73 | $17,496.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,314.24 / $9,172.83 / $17,546.59
| Facility | | $1,314.24 | $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
- $297.50 / $607.82 / $2,806.97
| Facility | | $297.50 | $607.82 | $2,806.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $458.28 / $858.84 / $1,023.09
| Facility | | $458.28 | $858.84 | $1,023.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $607.02 / $697.84 / $2,961.46
| Facility | | $607.02 | $697.84 | $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
- $2,408.00 / $11,261.00 / $18,561.84
| Facility | | $2,408.00 | $11,261.00 | $18,561.84 |