- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $2,630.27 / $7,762.47
| Facility | | $467.74 | $2,630.27 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $4,786.30 / $10,232.93
| Facility | | $2,630.27 | $4,786.30 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $1,258.93 / $4,073.80
| Facility | | $467.74 | $1,258.93 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $1,318.26 / $50,118.72
| Facility | | $562.34 | $1,318.26 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $371.54 / $1,023.29
| Facility | | $251.19 | $371.54 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $3,388.44 / $3,388.44
| Facility | | $3,388.44 | $3,388.44 | $3,388.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $50,118.72 / $75,857.76
| Facility | | $338.84 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $4,365.16 / $9,549.93
| Facility | | $2,137.96 | $4,365.16 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $363.08 / $1,096.48
| Facility | | $275.42 | $363.08 | $1,096.48 |