- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.25 / $3,019.95 / $8,317.64
| Facility | | $776.25 | $3,019.95 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.40 / $4,677.35 / $9,120.11
| Facility | | $2,570.40 | $4,677.35 | $9,120.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $173.78 / $758.58
| Facility | | $169.82 | $173.78 | $758.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $3,630.78 / $4,677.35
| Facility | | $331.13 | $3,630.78 | $4,677.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $15,488.17
| Facility | | $54.95 | $56.23 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $758.58 / $3,311.31
| Facility | | $208.93 | $758.58 | $3,311.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $630.96 / $1,318.26
| Facility | | $194.98 | $630.96 | $1,318.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $3,981.07 / $8,511.38
| Facility | | $1,380.38 | $3,981.07 | $8,511.38 |