- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $1,071.52 / $17,782.79
| Facility | | $269.15 | $1,071.52 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $562.34 / $2,454.71
| Facility | | $467.74 | $562.34 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $389.05 / $1,659.59
| Facility | | $186.21 | $389.05 | $1,659.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $741.31 / $812.83
| Facility | | $338.84 | $741.31 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $575.44 / $1,230.27
| Facility | | $562.34 | $575.44 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $5,495.41 / $10,232.93
| Facility | | $4,073.80 | $5,495.41 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $6,025.60 / $11,220.18
| Facility | | $1,548.82 | $6,025.60 | $11,220.18 |