- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $4,897.79 / $20,892.96
| Facility | | $2,187.76 | $4,897.79 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $3,981.07 / $5,888.44
| Facility | | $1,230.27 | $3,981.07 | $5,888.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $14,125.38 / $14,125.38
| Facility | | $14,125.38 | $14,125.38 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $1,122.02 / $51,286.14
| Facility | | $524.81 | $1,122.02 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- 53
- Low / Median / High Price
- $245.47 / $245.47 / $8,128.31
| Facility | 53 | $245.47 | $245.47 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $19,054.61 / $144,543.98
| Facility | | $9,120.11 | $19,054.61 | $144,543.98 |