- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $4,570.88 / $17,782.79
| Facility | | $1,096.48 | $4,570.88 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $398.11 / $1,258.93
| Facility | | $234.42 | $398.11 | $1,258.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $177.83 / $177.83
| Facility | | $177.83 | $177.83 | $177.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $1,621.81
| Facility | | $54.95 | $56.23 | $1,621.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $3,715.35 / $17,378.01
| Facility | | $302.00 | $3,715.35 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $257.04 / $512.86
| Facility | | $186.21 | $257.04 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $2,454.71 / $10,232.93
| Facility | | $436.52 | $2,454.71 | $10,232.93 |