- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $4,265.80 / $12,022.64
| Facility | | $416.87 | $4,265.80 | $12,022.64 |
- 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
- $436.52 / $436.52 / $8,912.51
| Facility | | $436.52 | $436.52 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $3,235.94 / $77,624.71
| Facility | | $34.67 | $3,235.94 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $562.34 / $1,071.52
| Facility | | $331.13 | $562.34 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $4,466.84 / $30,902.95
| Facility | | $3,311.31 | $4,466.84 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $50,118.72 / $75,857.76
| Facility | | $346.74 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $5,754.40 / $26,915.35
| Facility | | $2,398.83 | $5,754.40 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $549.54 / $1,513.56
| Facility | | $245.47 | $549.54 | $1,513.56 |