- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.38 / $2,754.23 / $4,897.79
| Facility | | $407.38 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $398.11 / $3,090.30 / $28,840.32
| Facility | | $398.11 | $3,090.30 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $186.21 / $436.52
| Facility | | $186.21 | $186.21 | $436.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $1,513.56 / $1,995.26
| Facility | | $588.84 | $1,513.56 | $1,995.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $501.19 / $7,079.46
| Facility | | $151.36 | $501.19 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $3,162.28 / $8,511.38
| Facility | | $616.60 | $3,162.28 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $398.11 / $3,090.30 / $28,840.32
| Facility | | $398.11 | $3,090.30 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $3,467.37 / $8,511.38
| Facility | | $676.08 | $3,467.37 | $8,511.38 |