- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $2,818.38 / $10,964.78
| Facility | | $346.74 | $2,818.38 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $5,888.44 / $12,302.69
| Facility | | $3,388.44 | $5,888.44 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $338.84 / $10,964.78
| Facility | | $338.84 | $338.84 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $426.58 / $7,413.10
| Facility | | $34.67 | $426.58 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $346.74 / $912.01
| Facility | | $263.03 | $346.74 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $6,606.93 / $50,118.72
| Facility | | $251.19 | $6,606.93 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,318.26 / $2,754.23 / $4,897.79
| Facility | | $1,318.26 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $309.03 / $457.09
| Facility | | $194.98 | $309.03 | $457.09 |