- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.49 / $3,090.30 / $7,585.78
| Facility | | $117.49 | $3,090.30 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $3,630.78 / $5,011.87
| Facility | | $1,819.70 | $3,630.78 | $5,011.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $1,258.93 / $4,073.80
| Facility | | $109.65 | $1,258.93 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $1,318.26 / $50,118.72
| Facility | | $128.82 | $1,318.26 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.62 / $104.71 / $251.19
| Facility | | $77.62 | $104.71 | $251.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $50,118.72 / $75,857.76
| Facility | | $85.11 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,318.26 / $2,754.23 / $4,897.79
| Facility | | $1,318.26 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $81.28 / $257.04
| Facility | | $61.66 | $81.28 | $257.04 |