- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $505.07 / $505.07 / $9,711.77
| Facility | | $505.07 | $505.07 | $9,711.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,506.94 / $10,944.24 / $23,673.40
| Facility | | $2,506.94 | $10,944.24 | $23,673.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,256.66 / $1,782.10 / $4,287.08
| Facility | | $1,256.66 | $1,782.10 | $4,287.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,021.57 / $1,629.26 / $3,375.65
| Facility | | $1,021.57 | $1,629.26 | $3,375.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.21 / $977.00 / $5,920.00
| Facility | | $549.21 | $977.00 | $5,920.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,296.00 / $3,500.00 / $6,361.00
| Facility | | $2,296.00 | $3,500.00 | $6,361.00 |