- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $4,168.69 / $10,964.78
| Facility | | $363.08 | $4,168.69 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $2,691.53 / $7,943.28
| Facility | | $954.99 | $2,691.53 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $213.80 / $891.25
| Facility | | $194.98 | $213.80 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $524.81 / $1,230.27
| Facility | | $34.67 | $524.81 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $562.34 / $1,445.44
| Facility | | $346.74 | $562.34 | $1,445.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $2,041.74
| Facility | | $100.00 | $100.00 | $2,041.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $2,398.83 / $4,897.79
| Facility | | $676.08 | $2,398.83 | $4,897.79 |