- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $3,981.07 / $8,317.64
| Facility | | $724.44 | $3,981.07 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $7,585.78 / $57,543.99
| Facility | | $6,456.54 | $7,585.78 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $7,762.47 / $8,912.51
| Facility | | $4,897.79 | $7,762.47 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $3,235.94 / $8,317.64
| Facility | | $758.58 | $3,235.94 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $346.74 / $389.05
| Facility | | $346.74 | $346.74 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $323.59 / $407.38
| Facility | | $190.55 | $323.59 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $4,168.69 / $11,481.54
| Facility | | $2,089.30 | $4,168.69 | $11,481.54 |