- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $3,801.89 / $10,232.93
| Facility | | $977.24 | $3,801.89 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $7,762.47 / $13,803.84
| Facility | | $4,073.80 | $7,762.47 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $1,148.15 / $10,964.78
| Facility | | $1,148.15 | $1,148.15 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $1,348.96 / $50,118.72
| Facility | | $34.67 | $1,348.96 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $891.25 / $2,818.38
| Facility | | $724.44 | $891.25 | $2,818.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.30 / $50,118.72 / $75,857.76
| Facility | | $4,786.30 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $4,365.16 / $10,964.78
| Facility | | $2,137.96 | $4,365.16 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $870.96 / $2,570.40
| Facility | | $660.69 | $870.96 | $2,570.40 |