- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $3,162.28 / $10,964.78
| Facility | | $446.68 | $3,162.28 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $5,623.41 / $12,302.69
| Facility | | $3,311.31 | $5,623.41 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $467.74 / $10,964.78
| Facility | | $467.74 | $467.74 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $549.54 / $7,762.47
| Facility | | $34.67 | $549.54 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $371.54 / $1,023.29
| Facility | | $251.19 | $371.54 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $309.03 / $309.03
| Facility | | $309.03 | $309.03 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $50,118.72 / $75,857.76
| Facility | | $562.34 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $4,897.79 / $11,220.18
| Facility | | $2,137.96 | $4,897.79 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $389.05 / $1,737.80
| Facility | | $269.15 | $389.05 | $1,737.80 |