- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $5,370.32 / $44,668.36
| Facility | | $630.96 | $5,370.32 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $4,786.30 / $10,232.93
| Facility | | $2,630.27 | $4,786.30 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $660.69 / $15,135.61
| Facility | | $660.69 | $660.69 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.25 / $28,840.32 / $53,703.18
| Facility | | $776.25 | $28,840.32 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $616.60 / $616.60 / $616.60
| Facility | 52 | $616.60 | $616.60 | $616.60 |
- Facility/Professional
- Facility
- Modifier
- 53
- Low / Median / High Price
- $154.88 / $154.88 / $154.88
| Facility | 53 | $154.88 | $154.88 | $154.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $794.33 / $3,235.94
| Facility | | $478.63 | $794.33 | $3,235.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $17,378.01 / $17,378.01
| Facility | | $17,378.01 | $17,378.01 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $50,118.72 / $75,857.76
| Facility | | $489.78 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $13,182.57 / $33,884.42
| Facility | | $2,884.03 | $13,182.57 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $812.83 / $2,187.76
| Facility | | $363.08 | $812.83 | $2,187.76 |