- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $5,754.40 / $13,182.57
| Facility | | $954.99 | $5,754.40 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $8,709.64 / $22,908.68
| Facility | | $4,466.84 | $8,709.64 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $2,630.27 / $12,302.69
| Facility | | $954.99 | $2,630.27 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $2,290.87 / $50,118.72
| Facility | | $1,174.90 | $2,290.87 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $1,047.13 / $2,454.71
| Facility | | $741.31 | $1,047.13 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,162.28 / $7,079.46 / $10,471.29
| Facility | | $3,162.28 | $7,079.46 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $50,118.72 / $75,857.76
| Facility | | $707.95 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.89 / $6,760.83 / $16,595.87
| Facility | | $2,511.89 | $6,760.83 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $776.25 / $2,290.87
| Facility | | $562.34 | $776.25 | $2,290.87 |