- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $876.64 / $1,935.59 / $18,050.75
| Facility | | $876.64 | $1,935.59 | $18,050.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,353.96 / $9,172.83 / $20,286.13
| Facility | | $2,353.96 | $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
- $598.61 / $1,110.32 / $2,806.97
| Facility | | $598.61 | $1,110.32 | $2,806.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $860.40 / $1,273.31 / $1,329.40
| Facility | | $860.40 | $1,273.31 | $1,329.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $885.62 / $897.09 / $2,961.46
| Facility | | $885.62 | $897.09 | $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 |