- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $4,466.84 / $11,748.98
| Facility | | $537.03 | $4,466.84 | $11,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $9,772.37 / $18,620.87
| Facility | | $4,570.88 | $9,772.37 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $2,630.27 / $12,302.69
| Facility | | $478.63 | $2,630.27 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $1,819.70 / $50,118.72
| Facility | | $575.44 | $1,819.70 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $478.63 / $1,096.48
| Facility | | $338.84 | $478.63 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.30 / $4,786.30 / $4,786.30
| Facility | | $4,786.30 | $4,786.30 | $4,786.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $50,118.72 / $75,857.76
| Facility | | $436.52 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $4,365.16 / $11,220.18
| Facility | | $2,137.96 | $4,365.16 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $363.08 / $1,258.93
| Facility | | $275.42 | $363.08 | $1,258.93 |