- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $3,981.07 / $10,964.78
| Facility | | $478.63 | $3,981.07 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $7,762.47 / $13,803.84
| Facility | | $4,073.80 | $7,762.47 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $2,398.83 / $10,964.78
| Facility | | $446.68 | $2,398.83 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $1,819.70 / $50,118.72
| Facility | | $537.03 | $1,819.70 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $549.54 / $1,096.48
| Facility | | $323.59 | $549.54 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $50,118.72 / $75,857.76
| Facility | | $354.81 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $4,365.16 / $10,964.78
| Facility | | $2,137.96 | $4,365.16 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $407.38 / $1,122.02
| Facility | | $257.04 | $407.38 | $1,122.02 |