- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $3,630.78 / $7,762.47
| Facility | | $363.08 | $3,630.78 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $5,888.44 / $12,302.69
| Facility | | $3,388.44 | $5,888.44 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $281.84 / $8,912.51
| Facility | | $281.84 | $281.84 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $331.13 / $50,118.72
| Facility | | $34.67 | $331.13 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $302.00 / $724.44
| Facility | | $190.55 | $302.00 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $50,118.72 / $75,857.76
| Facility | | $263.03 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $5,128.61 / $11,481.54
| Facility | | $2,398.83 | $5,128.61 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $213.80 / $398.11
| Facility | | $158.49 | $213.80 | $398.11 |