- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $5,248.07 / $16,982.44
| Facility | | $323.59 | $5,248.07 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $5,888.44 / $13,489.63
| Facility | | $3,388.44 | $5,888.44 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $1,698.24 / $6,165.95
| Facility | | $302.00 | $1,698.24 | $6,165.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $3,235.94 / $77,624.71
| Facility | | $34.67 | $3,235.94 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $489.78 / $831.76
| Facility | | $239.88 | $489.78 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $50,118.72 / $75,857.76
| Facility | | $263.03 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $5,888.44 / $26,915.35
| Facility | | $2,398.83 | $5,888.44 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $380.19 / $1,148.15
| Facility | | $169.82 | $380.19 | $1,148.15 |