- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $2,754.23 / $5,623.41
| Facility | | $281.84 | $2,754.23 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $9,332.54 / $60,255.96
| Facility | | $380.19 | $9,332.54 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $338.84 / $776.25
| Facility | | $338.84 | $338.84 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $575.44 / $7,079.46
| Facility | | $275.42 | $575.44 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $8,709.64 / $47,863.01
| Facility | | $2,818.38 | $8,709.64 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,949.84 / $4,168.69 / $45,708.82
| Facility | | $1,949.84 | $4,168.69 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $9,332.54 / $60,255.96
| Facility | | $380.19 | $9,332.54 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $9,332.54 / $48,977.88
| Facility | | $2,818.38 | $9,332.54 | $48,977.88 |