- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $2,951.21 / $10,964.78
| Facility | | $363.08 | $2,951.21 | $10,964.78 |
- 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
- $309.03 / $1,258.93 / $4,073.80
| Facility | | $309.03 | $1,258.93 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $363.08 / $50,118.72
| Facility | | $34.67 | $363.08 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $257.04 / $724.44
| Facility | | $204.17 | $257.04 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $50,118.72 / $75,857.76
| Facility | | $1,047.13 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $4,365.16 / $9,549.93
| Facility | | $2,137.96 | $4,365.16 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $275.42 / $831.76
| Facility | | $173.78 | $275.42 | $831.76 |