- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $2,691.53 / $8,317.64
| Facility | | $562.34 | $2,691.53 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $2,691.53 / $57,543.99
| Facility | | $2,630.27 | $2,691.53 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $645.65 / $2,398.83
| Facility | | $245.47 | $645.65 | $2,398.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $281.84 / $281.84
| Facility | | $281.84 | $281.84 | $281.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $4,466.84 / $27,542.29
| Facility | | $2,818.38 | $4,466.84 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $2,398.83 / $8,317.64
| Facility | | $562.34 | $2,398.83 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $1,148.15 / $1,778.28
| Facility | | $1,148.15 | $1,148.15 | $1,778.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $436.52 / $3,981.07
| Facility | | $141.25 | $436.52 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $2,398.83 / $6,025.60
| Facility | | $549.54 | $2,398.83 | $6,025.60 |