- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $3,630.78 / $10,964.78
| Facility | | $218.78 | $3,630.78 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $7,762.47 / $13,803.84
| Facility | | $4,073.80 | $7,762.47 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $218.78 / $37,153.52
| Facility | | $218.78 | $218.78 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $263.03 / $50,118.72
| Facility | | $34.67 | $263.03 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $173.78 / $537.03
| Facility | | $128.82 | $173.78 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.83 / $50,118.72 / $75,857.76
| Facility | | $131.83 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $4,168.69 / $9,332.54
| Facility | | $1,513.56 | $4,168.69 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.03 / $162.18 / $323.59
| Facility | | $123.03 | $162.18 | $323.59 |