- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $4,677.35 / $11,481.54
| Facility | | $707.95 | $4,677.35 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $12,589.25 / $69,183.10
| Facility | | $5,011.87 | $12,589.25 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $676.08 / $15,135.61
| Facility | | $676.08 | $676.08 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $112,201.85 / $134,896.29
| Facility | | $794.33 | $112,201.85 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $758.58 / $1,737.80
| Facility | | $457.09 | $758.58 | $1,737.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $75,857.76
| Facility | | $50,118.72 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $13,803.84 / $46,773.51
| Facility | | $2,818.38 | $13,803.84 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $645.65 / $851.14
| Facility | | $371.54 | $645.65 | $851.14 |