- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $3,467.37 / $12,022.64
| Facility | | $812.83 | $3,467.37 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $12,302.69 / $23,988.33
| Facility | | $6,760.83 | $12,302.69 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $10,471.29 / $10,471.29
| Facility | | $295.12 | $10,471.29 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $9,120.11 / $9,120.11
| Facility | | $9,120.11 | $9,120.11 | $9,120.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $8,128.31 / $36,307.81
| Facility | | $8,128.31 | $8,128.31 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $1,905.46 / $6,918.31
| Facility | | $380.19 | $1,905.46 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $436.52 / $794.33
| Facility | | $309.03 | $436.52 | $794.33 |
- 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 |