- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $2,570.40 / $8,317.64
| Facility | | $588.84 | $2,570.40 | $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
- $331.13 / $1,995.26 / $3,981.07
| Facility | | $331.13 | $1,995.26 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $398.11 / $398.11 / $398.11
| Facility | | $398.11 | $398.11 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $7,943.28 / $16,595.87
| Facility | | $1,348.96 | $7,943.28 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $2,089.30 / $8,317.64
| Facility | | $537.03 | $2,089.30 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.09 / $239.88 / $398.11
| Facility | | $229.09 | $239.88 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $190.55 / $1,071.52
| Facility | | $100.00 | $190.55 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $2,398.83 / $8,128.31
| Facility | | $549.54 | $2,398.83 | $8,128.31 |