- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $378.64 / $694.37 / $14,464.32
| Facility | | $378.64 | $694.37 | $14,464.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $999.12 / $8,052.47 / $15,403.47
| Facility | | $999.12 | $8,052.47 | $15,403.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,708.80 / $1,708.80 / $2,846.84
| Facility | | $1,708.80 | $1,708.80 | $2,846.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.33 / $514.29 / $2,421.55
| Facility | | $263.33 | $514.29 | $2,421.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $368.97 / $507.19 / $558.78
| Facility | | $368.97 | $507.19 | $558.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $369.65 / $381.14 / $1,048.55
| Facility | | $369.65 | $381.14 | $1,048.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,221.67 / $8,047.87 / $15,403.47
| Facility | | $5,221.67 | $8,047.87 | $15,403.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $2,431.00 / $11,261.00
| Facility | | $1,550.00 | $2,431.00 | $11,261.00 |