- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $524.81 / $13,182.57
| Facility | | $177.83 | $524.81 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $1,380.38 / $2,290.87
| Facility | | $1,380.38 | $1,380.38 | $2,290.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $269.15 / $2,570.40
| Facility | | $141.25 | $269.15 | $2,570.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $288.40 / $302.00
| Facility | | $234.42 | $288.40 | $302.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $204.17 / $204.17
| Facility | | $199.53 | $204.17 | $204.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,168.69 / $5,754.40 / $10,964.78
| Facility | | $4,168.69 | $5,754.40 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $7,762.47 / $12,589.25
| Facility | | $1,995.26 | $7,762.47 | $12,589.25 |