- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $501.19 / $7,762.47
| Facility | | $501.19 | $501.19 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $27,542.29 / $77,624.71
| Facility | | $16,595.87 | $27,542.29 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $1,659.59 / $3,890.45
| Facility | | $1,174.90 | $1,659.59 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $1,584.89 / $3,090.30
| Facility | | $1,258.93 | $1,584.89 | $3,090.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $1,174.90 / $25,703.96
| Facility | | $676.08 | $1,174.90 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $14,125.38 / $34,673.69
| Facility | | $6,760.83 | $14,125.38 | $34,673.69 |