- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $467.74 / $14,454.40
| Facility | | $251.19 | $467.74 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $12,882.50 / $21,379.62
| Facility | | $9,120.11 | $12,882.50 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $676.08 / $1,071.52
| Facility | | $575.44 | $676.08 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $323.59 / $8,128.31
| Facility | | $218.78 | $323.59 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.09 / $354.81 / $12,302.69
| Facility | | $229.09 | $354.81 | $12,302.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $275.42 / $512.86 / $794.33
| Professional | | $275.42 | $512.86 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $1,584.89 / $1,584.89
| Facility | | $588.84 | $1,584.89 | $1,584.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $12,022.64 / $16,218.10
| Facility | | $5,248.07 | $12,022.64 | $16,218.10 |