- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $2,951.21 / $7,585.78
| Facility | | $275.42 | $2,951.21 | $7,585.78 |
- 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
- $213.80 / $1,258.93 / $4,073.80
| Facility | | $213.80 | $1,258.93 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $257.04 / $5,754.40
| Facility | | $34.67 | $257.04 | $5,754.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $208.93 / $524.81
| Facility | | $158.49 | $208.93 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $50,118.72 / $75,857.76
| Facility | | $199.53 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $3,311.31 / $6,165.95
| Facility | | $1,479.11 | $3,311.31 | $6,165.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.03 / $194.98 / $436.52
| Facility | | $123.03 | $194.98 | $436.52 |