- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $2,691.53 / $8,317.64
| Facility | | $758.58 | $2,691.53 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $4,466.84 / $57,543.99
| Facility | | $3,801.89 | $4,466.84 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $794.33 / $1,778.28
| Facility | | $346.74 | $794.33 | $1,778.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $933.25 / $933.25
| Facility | | $933.25 | $933.25 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $2,344.23 / $7,762.47
| Facility | | $660.69 | $2,344.23 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $371.54 / $870.96
| Facility | | $363.08 | $371.54 | $870.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $380.19 / $1,412.54
| Facility | | $309.03 | $380.19 | $1,412.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $1,905.46 / $4,265.80
| Facility | | $524.81 | $1,905.46 | $4,265.80 |