- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $4,365.16 / $10,964.78
| Facility | | $537.03 | $4,365.16 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $5,888.44 / $12,589.25
| Facility | | $3,388.44 | $5,888.44 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $2,398.83 / $10,964.78
| Facility | | $489.78 | $2,398.83 | $10,964.78 |
- 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
- $371.54 / $549.54 / $1,202.26
| Facility | | $371.54 | $549.54 | $1,202.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $50,118.72 / $75,857.76
| Facility | | $446.68 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $6,456.54 / $58,884.37
| Facility | | $2,398.83 | $6,456.54 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $616.60 / $630.96
| Facility | | $275.42 | $616.60 | $630.96 |