- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $2,238.72 / $3,801.89
| Facility | | $457.09 | $2,238.72 | $3,801.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $4,677.35 / $19,498.45
| Facility | | $831.76 | $4,677.35 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $416.87 / $954.99
| Facility | | $416.87 | $416.87 | $954.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $478.63 / $5,623.41
| Facility | | $446.68 | $478.63 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $724.44 / $7,079.46
| Facility | | $331.13 | $724.44 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $3,801.89 / $9,772.37
| Facility | | $524.81 | $3,801.89 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $4,677.35 / $19,498.45
| Facility | | $831.76 | $4,677.35 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $3,890.45 / $11,220.18
| Facility | | $1,071.52 | $3,890.45 | $11,220.18 |