- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.02 / $7,190.56 / $17,200.73
| Facility | | $275.02 | $7,190.56 | $17,200.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,010.16 / $10,612.45 / $20,300.41
| Facility | | $6,010.16 | $10,612.45 | $20,300.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,289.46 / $2,289.46 / $3,814.21
| Facility | | $2,289.46 | $2,289.46 | $3,814.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $233.52 / $427.71 / $5,516.87
| Facility | | $233.52 | $427.71 | $5,516.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $280.77 / $365.82 / $377.88
| Facility | | $280.77 | $365.82 | $377.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $250.06 / $257.75 / $1,366.31
| Facility | | $250.06 | $257.75 | $1,366.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,881.70 / $10,606.39 / $20,300.41
| Facility | | $6,881.70 | $10,606.39 | $20,300.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $2,431.00 / $11,261.00
| Facility | | $1,550.00 | $2,431.00 | $11,261.00 |