- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $335.04 / $866.25 / $7,461.33
| Facility | | $335.04 | $866.25 | $7,461.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $875.25 / $6,024.48 / $13,610.15
| Facility | | $875.25 | $6,024.48 | $13,610.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $783.67 / $1,223.09 / $2,942.34
| Facility | | $783.67 | $1,223.09 | $2,942.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $679.12 / $1,116.16 / $2,316.80
| Facility | | $679.12 | $1,116.16 | $2,316.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $383.55 / $714.23 / $3,312.00
| Facility | | $383.55 | $714.23 | $3,312.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,623.00 / $4,746.00 / $8,812.00
| Facility | | $1,623.00 | $4,746.00 | $8,812.00 |