- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $3,548.13 / $7,762.47
| Facility | | $380.19 | $3,548.13 | $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
- $338.84 / $1,698.24 / $6,165.95
| Facility | | $338.84 | $1,698.24 | $6,165.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $1,659.59 / $50,118.72
| Facility | | $416.87 | $1,659.59 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $416.87 / $831.76
| Facility | | $251.19 | $416.87 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $50,118.72 / $75,857.76
| Facility | | $269.15 | $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
- $194.98 / $309.03 / $851.14
| Facility | | $194.98 | $309.03 | $851.14 |