- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $2,570.40 / $4,466.84
| Facility | | $1,288.25 | $2,570.40 | $4,466.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $1,148.15 / $4,365.16
| Facility | | $478.63 | $1,148.15 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $3,090.30 / $11,220.18
| Facility | | $1,122.02 | $3,090.30 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $89.13 / $97.72
| Facility | | $53.70 | $89.13 | $97.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $6,025.60 / $17,782.79
| Facility | | $2,398.83 | $6,025.60 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $5,888.44 / $14,454.40
| Facility | | $2,187.76 | $5,888.44 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.49 / $194.98 / $316.23
| Facility | | $117.49 | $194.98 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $2,137.96 / $2,137.96
| Facility | | $2,137.96 | $2,137.96 | $2,137.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $6,025.60 / $17,378.01
| Facility | | $2,187.76 | $6,025.60 | $17,378.01 |