- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $2,754.23 / $4,897.79
| Facility | | $416.87 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $3,090.30 / $28,840.32
| Facility | | $380.19 | $3,090.30 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $645.65 / $1,995.26
| Facility | | $588.84 | $645.65 | $1,995.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $380.19 / $7,079.46
| Facility | | $141.25 | $380.19 | $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
- $2,630.27 / $2,630.27 / $3,235.94
| Facility | | $2,630.27 | $2,630.27 | $3,235.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $3,090.30 / $28,840.32
| Facility | | $380.19 | $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 |