- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $7,762.47 / $20,892.96
| Facility | | $436.52 | $7,762.47 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $912.01 / $6,760.83
| Facility | | $707.95 | $912.01 | $6,760.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $512.86 / $6,309.57
| Facility | | $302.00 | $512.86 | $6,309.57 |
- 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 / $316.23 / $3,019.95
| Facility | | $309.03 | $316.23 | $3,019.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $10,964.78 / $20,892.96
| Facility | | $7,079.46 | $10,964.78 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $11,220.18 / $21,379.62
| Facility | | $1,548.82 | $11,220.18 | $21,379.62 |