- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $9,332.54 / $20,892.96
| Facility | | $724.44 | $9,332.54 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $4,677.35 / $4,677.35
| Facility | | $4,677.35 | $4,677.35 | $4,677.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $954.99 / $15,488.17
| Facility | | $588.84 | $954.99 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $741.31 / $776.25
| Facility | | $630.96 | $741.31 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $524.81 / $524.81
| Facility | | $524.81 | $524.81 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $11,220.18 / $21,379.62
| Facility | | $7,244.36 | $11,220.18 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $13,182.57 / $22,387.21
| Facility | | $3,311.31 | $13,182.57 | $22,387.21 |