- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $403.58 / $403.58 / $43,042.60
| Facility | | $403.58 | $403.58 | $43,042.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,588.71 / $40,189.28 / $83,768.03
| Facility | | $10,588.71 | $40,189.28 | $83,768.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $888.59 / $1,260.13 / $3,031.41
| Facility | | $888.59 | $1,260.13 | $3,031.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $722.36 / $1,152.06 / $2,386.94
| Facility | | $722.36 | $1,152.06 | $2,386.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $633.96 / $1,096.58 / $54,121.18
| Facility | | $633.96 | $1,096.58 | $54,121.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,155.00 / $17,909.00 / $51,233.00
| Facility | | $14,155.00 | $17,909.00 | $51,233.00 |