- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $4,168.69 / $10,964.78
| Facility | | $562.34 | $4,168.69 | $10,964.78 |
- 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
- $549.54 / $549.54 / $8,912.51
| Facility | | $549.54 | $549.54 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $645.65 / $50,118.72
| Facility | | $34.67 | $645.65 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $724.44 / $1,380.38
| Facility | | $416.87 | $724.44 | $1,380.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $50,118.72 / $75,857.76
| Facility | | $436.52 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $5,888.44 / $37,153.52
| Facility | | $2,398.83 | $5,888.44 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $691.83 / $1,862.09
| Facility | | $309.03 | $691.83 | $1,862.09 |