- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $3,715.35 / $12,882.50
| Facility | | $891.25 | $3,715.35 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $16,595.87 / $32,359.37
| Facility | | $9,549.93 | $16,595.87 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $14,125.38 / $30,199.52
| Facility | | $5,011.87 | $14,125.38 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $15,488.17 / $15,488.17
| Facility | | $436.52 | $15,488.17 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $10,964.78 / $10,964.78
| Facility | | $10,964.78 | $10,964.78 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $15,848.93 / $43,651.58
| Facility | | $54.95 | $15,848.93 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- 53
- Low / Median / High Price
- $8,709.64 / $8,709.64 / $8,709.64
| Facility | 53 | $8,709.64 | $8,709.64 | $8,709.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $1,174.90 / $8,511.38
| Facility | | $549.54 | $1,174.90 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $676.08 / $1,202.26
| Facility | | $489.78 | $676.08 | $1,202.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $12,302.69 / $37,153.52
| Facility | | $5,248.07 | $12,302.69 | $37,153.52 |