- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $2,951.21 / $7,762.47
| Facility | | $83.18 | $2,951.21 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $3,630.78 / $5,011.87
| Facility | | $1,819.70 | $3,630.78 | $5,011.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $83.18 / $4,073.80
| Facility | | $83.18 | $83.18 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $102.33 / $53,703.18
| Facility | | $34.67 | $102.33 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.18 / $128.82 / $223.87
| Facility | | $69.18 | $128.82 | $223.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $50,118.72 / $75,857.76
| Facility | | $66.07 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $2,754.23 / $4,897.79
| Facility | | $1,071.52 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $74.13 / $245.47
| Facility | | $47.86 | $74.13 | $245.47 |