- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $5,495.41 / $13,803.84
| Facility | | $389.05 | $5,495.41 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $4,786.30 / $9,549.93
| Facility | | $2,630.27 | $4,786.30 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $177.83 / $37,153.52
| Facility | | $177.83 | $177.83 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $218.78 / $50,118.72
| Facility | | $34.67 | $218.78 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $478.63 / $870.96
| Facility | | $141.25 | $478.63 | $870.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,235.94 / $50,118.72 / $75,857.76
| Facility | | $3,235.94 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $4,168.69 / $9,332.54
| Facility | | $1,513.56 | $4,168.69 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $158.49 / $1,122.02
| Facility | | $100.00 | $158.49 | $1,122.02 |