- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.20 / $3,630.78 / $10,964.78
| Facility | | $112.20 | $3,630.78 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $3,630.78 / $5,011.87
| Facility | | $1,698.24 | $3,630.78 | $5,011.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $109.65 / $37,153.52
| Facility | | $109.65 | $109.65 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $141.25 / $53,703.18
| Facility | | $34.67 | $141.25 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.44 / $114.82 / $288.40
| Facility | | $72.44 | $114.82 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.10 / $50,118.72 / $75,857.76
| Facility | | $87.10 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $3,715.35 / $8,317.64
| Facility | | $1,513.56 | $3,715.35 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $87.10 / $316.23
| Facility | | $66.07 | $87.10 | $316.23 |