- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $3,548.13 / $8,317.64
| Facility | | $575.44 | $3,548.13 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $4,466.84 / $57,543.99
| Facility | | $3,801.89 | $4,466.84 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $1,230.27 / $2,454.71
| Facility | | $389.05 | $1,230.27 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $457.09 / $457.09
| Facility | | $457.09 | $457.09 | $457.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $4,265.80 / $8,511.38
| Facility | | $263.03 | $4,265.80 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $2,691.53 / $8,317.64
| Facility | | $724.44 | $2,691.53 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $269.15 / $457.09
| Facility | | $257.04 | $269.15 | $457.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.10 / $218.78 / $263.03
| Facility | | $87.10 | $218.78 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $2,398.83 / $6,025.60
| Facility | | $549.54 | $2,398.83 | $6,025.60 |