- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $1,174.90 / $17,782.79
| Facility | | $537.03 | $1,174.90 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $478.63 / $2,454.71
| Facility | | $478.63 | $478.63 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $707.95 / $2,290.87
| Facility | | $371.54 | $707.95 | $2,290.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $851.14 / $891.25
| Facility | | $616.60 | $851.14 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $616.60 / $707.95
| Facility | | $602.56 | $616.60 | $707.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $6,606.93 / $12,589.25
| Facility | | $4,365.16 | $6,606.93 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $7,413.10 / $13,489.63
| Facility | | $1,380.38 | $7,413.10 | $13,489.63 |