- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.98 / $1,032.50 / $16,918.74
| Facility | | $308.98 | $1,032.50 | $16,918.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $4,991.60 / $14,872.84
| Facility | | $1.00 | $4,991.60 | $14,872.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $686.45 / $973.46 / $2,341.80
| Facility | | $686.45 | $973.46 | $2,341.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $558.03 / $889.98 / $1,843.94
| Facility | | $558.03 | $889.98 | $1,843.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $488.96 / $1,438.00 / $16,002.37
| Facility | | $488.96 | $1,438.00 | $16,002.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $563.00 / $1,749.00 / $2,883.00
| Facility | | $563.00 | $1,749.00 | $2,883.00 |