- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.48 / $951.81 / $12,698.27
| Facility | | $281.48 | $951.81 | $12,698.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,256.57 / $4,809.85 / $12,444.54
| Facility | | $1,256.57 | $4,809.85 | $12,444.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,126.23 / $1,126.23 / $1,876.28
| Facility | | $1,126.23 | $1,126.23 | $1,876.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.25 / $479.60 / $1,528.00
| Facility | | $245.25 | $479.60 | $1,528.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $303.51 / $631.80 / $705.51
| Facility | | $303.51 | $631.80 | $705.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $476.65 / $482.45 / $676.20
| Facility | | $476.65 | $482.45 | $676.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,118.98 / $4,807.10 / $9,200.71
| Facility | | $3,118.98 | $4,807.10 | $9,200.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $879.00 / $1,689.00 / $7,385.00
| Facility | | $879.00 | $1,689.00 | $7,385.00 |