- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $3,630.78 / $7,762.47
| Facility | | $380.19 | $3,630.78 | $7,762.47 |
- 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
- $295.12 / $295.12 / $16,595.87
| Facility | | $295.12 | $295.12 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $346.74 / $50,118.72
| Facility | | $34.67 | $346.74 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $316.23 / $758.58
| Facility | | $199.53 | $316.23 | $758.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $50,118.72 / $75,857.76
| Facility | | $251.19 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $5,128.61 / $12,882.50
| Facility | | $2,398.83 | $5,128.61 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $218.78 / $389.05
| Facility | | $165.96 | $218.78 | $389.05 |