- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $3,630.78 / $9,332.54
| Facility | | $489.78 | $3,630.78 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,890.45 / $7,762.47 / $13,803.84
| Facility | | $3,890.45 | $7,762.47 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $1,995.26 / $8,912.51
| Facility | | $489.78 | $1,995.26 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $1,548.82 / $7,762.47
| Facility | | $588.84 | $1,548.82 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $478.63 / $1,202.26
| Facility | | $371.54 | $478.63 | $1,202.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $416.87 / $416.87
| Facility | | $416.87 | $416.87 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $50,118.72 / $75,857.76
| Facility | | $354.81 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $4,265.80 / $10,964.78
| Facility | | $1,819.70 | $4,265.80 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $416.87 / $1,380.38
| Facility | | $281.84 | $416.87 | $1,380.38 |