- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $588.84 / $2,238.72
| Facility | | $588.84 | $588.84 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $21,877.62 / $53,703.18
| Facility | | $10,232.93 | $21,877.62 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $2,238.72 / $5,248.07
| Facility | | $1,584.89 | $2,238.72 | $5,248.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $2,137.96 / $4,168.69
| Facility | | $1,698.24 | $2,137.96 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $1,230.27 / $9,332.54
| Facility | | $741.31 | $1,230.27 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $6,456.54 / $23,988.33
| Facility | | $3,311.31 | $6,456.54 | $23,988.33 |