- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $2,884.03 / $7,762.47
| Facility | | $257.04 | $2,884.03 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $4,786.30 / $10,232.93
| Facility | | $2,630.27 | $4,786.30 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $204.17 / $8,912.51
| Facility | | $204.17 | $204.17 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $239.88 / $4,365.16
| Facility | | $34.67 | $239.88 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $194.98 / $467.74
| Facility | | $141.25 | $194.98 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $354.81 / $354.81
| Facility | | $354.81 | $354.81 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $50,118.72 / $75,857.76
| Facility | | $208.93 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $2,754.23 / $4,897.79
| Facility | | $831.76 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.82 / $165.96 / $316.23
| Facility | | $114.82 | $165.96 | $316.23 |