- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $406.04 / $8,760.90 / $17,222.48
| Facility | | $406.04 | $8,760.90 | $17,222.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,791.80 / $8,859.76 / $22,922.83
| Facility | | $1,791.80 | $8,859.76 | $22,922.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,380.38 / $2,380.38 / $3,965.68
| Facility | | $2,380.38 | $2,380.38 | $3,965.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $377.54 / $643.61 / $2,679.56
| Facility | | $377.54 | $643.61 | $2,679.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $448.35 / $617.07 / $738.34
| Facility | | $448.35 | $617.07 | $738.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $494.22 / $503.61 / $1,367.95
| Facility | | $494.22 | $503.61 | $1,367.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,745.15 / $8,854.69 / $16,947.71
| Facility | | $5,745.15 | $8,854.69 | $16,947.71 |
- 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 |