- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $507.86 / $5,116.62 / $19,617.14
| Facility | | $507.86 | $5,116.62 | $19,617.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,827.48 / $5,471.61 / $12,100.72
| Facility | | $1,827.48 | $5,471.61 | $12,100.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $2,190.81
| Facility | | $625.25 | $761.81 | $2,190.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $294.37 / $589.28 / $1,921.26
| Facility | | $294.37 | $589.28 | $1,921.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $375.67 / $517.24 / $561.46
| Facility | | $375.67 | $517.24 | $561.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $365.57 / $382.97 / $1,795.87
| Facility | | $365.57 | $382.97 | $1,795.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,548.09 / $5,468.48 / $10,466.57
| Facility | | $3,548.09 | $5,468.48 | $10,466.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,547.00 / $2,408.00 / $10,522.00
| Facility | | $1,547.00 | $2,408.00 | $10,522.00 |