- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $3,630.78 / $12,022.64
| Facility | | $831.76 | $3,630.78 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $28,183.83 / $58,884.37
| Facility | | $12,302.69 | $28,183.83 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $309.03 / $309.03
| Facility | | $309.03 | $309.03 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $75,857.76
| Facility | | $54.95 | $56.23 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $398.11 / $1,905.46 / $6,918.31
| Facility | | $398.11 | $1,905.46 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $457.09 / $831.76
| Facility | | $331.13 | $457.09 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $14,125.38 / $52,480.75
| Facility | | $4,570.88 | $14,125.38 | $52,480.75 |