- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $3,311.31 / $7,762.47
| Facility | | $218.78 | $3,311.31 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $3,630.78 / $5,011.87
| Facility | | $1,819.70 | $3,630.78 | $5,011.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $1,698.24 / $6,165.95
| Facility | | $165.96 | $1,698.24 | $6,165.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $1,659.59 / $50,118.72
| Facility | | $199.53 | $1,659.59 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.83 / $190.55 / $426.58
| Facility | | $131.83 | $190.55 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.80 / $50,118.72 / $75,857.76
| Facility | | $213.80 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $2,754.23 / $4,897.79
| Facility | | $954.99 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.33 / $123.03 / $758.58
| Facility | | $93.33 | $123.03 | $758.58 |