- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $4,897.79 / $18,620.87
| Facility | | $331.13 | $4,897.79 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $3,981.07 / $3,981.07
| Facility | | $3,981.07 | $3,981.07 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $407.38 / $7,943.28
| Facility | | $218.78 | $407.38 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $323.59 / $354.81
| Facility | | $251.19 | $323.59 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $245.47 / $245.47
| Facility | | $239.88 | $245.47 | $245.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $8,912.51 / $16,982.44
| Facility | | $5,888.44 | $8,912.51 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $11,220.18 / $19,498.45
| Facility | | $1,995.26 | $11,220.18 | $19,498.45 |