- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $2,344.23 / $6,025.60
| Facility | | $158.49 | $2,344.23 | $6,025.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $5,128.61 / $8,317.64
| Facility | | $15.14 | $5,128.61 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,754.23 / $4,168.69 / $7,244.36
| Facility | | $2,754.23 | $4,168.69 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $2,398.83 / $9,549.93
| Facility | | $676.08 | $2,398.83 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $3,801.89 / $8,709.64
| Facility | | $3,467.37 | $3,801.89 | $8,709.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $40.74 / $245.47
| Facility | | $22.91 | $40.74 | $245.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $2,344.23 / $6,309.57
| Facility | | $190.55 | $2,344.23 | $6,309.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $758.58 / $1,380.38
| Facility | | $446.68 | $758.58 | $1,380.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $758.58 / $1,380.38
| Facility | | $446.68 | $758.58 | $1,380.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $758.58 / $1,380.38
| Facility | | $446.68 | $758.58 | $1,380.38 |