- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $6,309.57 / $18,620.87
| Facility | | $512.86 | $6,309.57 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $2,344.23 / $3,890.45
| Facility | | $2,344.23 | $2,344.23 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $645.65 / $9,549.93
| Facility | | $371.54 | $645.65 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $537.03 / $549.54
| Facility | | $457.09 | $537.03 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $380.19 / $380.19
| Facility | | $363.08 | $380.19 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $9,772.37 / $19,054.61
| Facility | | $6,606.93 | $9,772.37 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $12,302.69 / $20,892.96
| Facility | | $1,995.26 | $12,302.69 | $20,892.96 |