- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.80 / $3,090.30 / $7,762.47
| Facility | | $213.80 | $3,090.30 | $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
- $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 / $50,118.72
| Facility | | $34.67 | $257.04 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $204.17 / $524.81
| Facility | | $158.49 | $204.17 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $50,118.72 / $75,857.76
| Facility | | $177.83 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $4,365.16 / $9,772.37
| Facility | | $2,137.96 | $4,365.16 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $190.55 / $316.23
| Facility | | $109.65 | $190.55 | $316.23 |