- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $2,238.72 / $3,801.89
| Facility | | $446.68 | $2,238.72 | $3,801.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $2,344.23 / $19,498.45
| Facility | | $457.09 | $2,344.23 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $281.84 / $645.65
| Facility | | $281.84 | $281.84 | $645.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $501.19 / $1,995.26
| Facility | | $446.68 | $501.19 | $1,995.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $380.19 / $7,079.46
| Facility | | $181.97 | $380.19 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $3,162.28 / $8,511.38
| Facility | | $616.60 | $3,162.28 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $2,344.23 / $19,498.45
| Facility | | $457.09 | $2,344.23 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $3,019.95 / $8,511.38
| Facility | | $676.08 | $3,019.95 | $8,511.38 |