- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.65 / $389.65 / $15,395.84
| Facility | | $389.65 | $389.65 | $15,395.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,193.12 / $16,101.53 / $31,408.96
| Facility | | $7,193.12 | $16,101.53 | $31,408.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $858.27 / $1,217.13 / $2,927.97
| Facility | | $858.27 | $1,217.13 | $2,927.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $697.71 / $1,112.75 / $2,305.48
| Facility | | $697.71 | $1,112.75 | $2,305.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.16 / $759.77 / $12,367.00
| Facility | | $549.16 | $759.77 | $12,367.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,577.00 / $10,743.00 / $12,774.00
| Facility | | $5,577.00 | $10,743.00 | $12,774.00 |