- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $2,187.76 / $6,918.31
| Facility | | $575.44 | $2,187.76 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $1,288.25 / $2,630.27
| Facility | | $758.58 | $1,288.25 | $2,630.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $380.19 / $380.19
| Facility | | $109.65 | $380.19 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $645.65 / $1,023.29
| Facility | | $208.93 | $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
- $120.23 / $190.55 / $1,584.89
| Facility | | $120.23 | $190.55 | $1,584.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.23 / $181.97 / $316.23
| Facility | | $120.23 | $181.97 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $2,511.89 / $4,786.30
| Facility | | $676.08 | $2,511.89 | $4,786.30 |