- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $7,244.36 / $15,488.17
| Facility | | $467.74 | $7,244.36 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $758.58 / $2,454.71
| Facility | | $630.96 | $758.58 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $501.19 / $2,137.96
| Facility | | $295.12 | $501.19 | $2,137.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $446.68 / $467.74
| Facility | | $380.19 | $446.68 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $309.03 / $1,230.27
| Facility | | $309.03 | $309.03 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,630.78 / $5,370.32 / $10,232.93
| Facility | | $3,630.78 | $5,370.32 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $6,025.60 / $10,715.19
| Facility | | $933.25 | $6,025.60 | $10,715.19 |