- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $2,454.71 / $6,918.31
| Facility | | $537.03 | $2,454.71 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $1,230.27 / $2,511.89
| Facility | | $676.08 | $1,230.27 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $85.11 / $354.81
| Facility | | $85.11 | $85.11 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $645.65 / $1,023.29
| Facility | | $158.49 | $645.65 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,754.23 / $19,498.45 / $19,498.45
| Facility | | $2,754.23 | $19,498.45 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $316.23 / $776.25
| Facility | | $97.72 | $316.23 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $288.40 / $575.44
| Facility | | $97.72 | $288.40 | $575.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $1,621.81 / $4,073.80
| Facility | | $416.87 | $1,621.81 | $4,073.80 |