- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $389.05 / $5,011.87
| Facility | | $389.05 | $389.05 | $5,011.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $44,668.36 / $120,226.44
| Facility | | $22,908.68 | $44,668.36 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $1,288.25 / $3,090.30
| Facility | | $912.01 | $1,288.25 | $3,090.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $1,230.27 / $2,398.83
| Facility | | $977.24 | $1,230.27 | $2,398.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $7,585.78 / $26,915.35
| Facility | | $602.56 | $7,585.78 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $11,220.18 / $48,977.88
| Facility | | $1,584.89 | $11,220.18 | $48,977.88 |