- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $9,332.54 / $18,620.87
| Facility | | $707.95 | $9,332.54 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $2,398.83 / $3,981.07
| Facility | | $2,398.83 | $2,398.83 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $1,202.26 / $10,715.19
| Facility | | $660.69 | $1,202.26 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $977.24 / $1,023.29
| Facility | | $831.76 | $977.24 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $691.83 / $691.83
| Facility | | $676.08 | $691.83 | $691.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $9,772.37 / $18,620.87
| Facility | | $7,079.46 | $9,772.37 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $12,589.25 / $21,379.62
| Facility | | $2,454.71 | $12,589.25 | $21,379.62 |