- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $3,630.78 / $8,317.64
| Facility | | $794.33 | $3,630.78 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $7,585.78 / $57,543.99
| Facility | | $6,456.54 | $7,585.78 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $1,621.81 / $7,585.78
| Facility | | $331.13 | $1,621.81 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $389.05 / $389.05
| Facility | | $389.05 | $389.05 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $10,000.00 / $10,471.29
| Facility | | $10,000.00 | $10,000.00 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $2,691.53 / $8,317.64
| Facility | | $794.33 | $2,691.53 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $851.14 / $1,584.89
| Facility | | $812.83 | $851.14 | $1,584.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $229.09 / $758.58
| Facility | | $190.55 | $229.09 | $758.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.96 / $2,951.21 / $11,220.18
| Facility | | $870.96 | $2,951.21 | $11,220.18 |