- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $371.54 / $5,011.87
| Facility | | $371.54 | $371.54 | $5,011.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $44,668.36 / $120,226.44
| Facility | | $22,908.68 | $44,668.36 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.96 / $1,230.27 / $2,951.21
| Facility | | $870.96 | $1,230.27 | $2,951.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $1,174.90 / $2,290.87
| Facility | | $954.99 | $1,174.90 | $2,290.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $912.01 / $45,708.82
| Facility | | $512.86 | $912.01 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $11,220.18 / $48,977.88
| Facility | | $1,584.89 | $11,220.18 | $48,977.88 |