- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,818.38 / $5,495.41
| Facility | | $630.96 | $2,818.38 | $5,495.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $3,981.07 / $28,840.32
| Facility | | $831.76 | $3,981.07 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $645.65 / $4,168.69
| Facility | | $588.84 | $645.65 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $676.08 / $7,079.46
| Facility | | $323.59 | $676.08 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $3,801.89 / $9,772.37
| Facility | | $524.81 | $3,801.89 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $3,090.30 / $6,760.83
| Facility | | $1,071.52 | $3,090.30 | $6,760.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $3,981.07 / $28,840.32
| Facility | | $831.76 | $3,981.07 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $3,890.45 / $9,772.37
| Facility | | $1,071.52 | $3,890.45 | $9,772.37 |