- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $9,332.54 / $15,848.93
| Facility | | $794.33 | $9,332.54 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.54 / $5,128.61 / $21,877.62
| Facility | | $1,412.54 | $5,128.61 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $478.63 / $8,912.51
| Facility | | $426.58 | $478.63 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $758.58 / $14,454.40
| Facility | | $34.67 | $758.58 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $758.58 / $14,454.40
| Facility | | $562.34 | $758.58 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $13,182.57
| Facility | | $100.00 | $100.00 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $8,128.31 / $14,125.38
| Facility | | $1,288.25 | $8,128.31 | $14,125.38 |