- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $4,073.80 / $7,762.47
| Facility | | $316.23 | $4,073.80 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $6,606.93 / $57,543.99
| Facility | | $6,456.54 | $6,606.93 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $870.96 / $3,890.45
| Facility | | $269.15 | $870.96 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $338.84 / $338.84
| Facility | | $338.84 | $338.84 | $338.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,754.23 / $6,025.60 / $9,549.93
| Facility | | $2,754.23 | $6,025.60 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $3,801.89 / $7,762.47
| Facility | | $331.13 | $3,801.89 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $281.84 / $616.60
| Facility | | $269.15 | $281.84 | $616.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $281.84 / $478.63
| Facility | | $154.88 | $281.84 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $2,398.83 / $8,128.31
| Facility | | $549.54 | $2,398.83 | $8,128.31 |