- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.04 / $3,019.95 / $7,585.78
| Facility | | $138.04 | $3,019.95 | $7,585.78 |
- 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
- $138.04 / $1,258.93 / $4,073.80
| Facility | | $138.04 | $1,258.93 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $1,318.26 / $50,118.72
| Facility | | $165.96 | $1,318.26 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $104.71 / $281.84
| Facility | | $70.79 | $104.71 | $281.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $50,118.72 / $75,857.76
| Facility | | $109.65 | $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
- $77.62 / $125.89 / $346.74
| Facility | | $77.62 | $125.89 | $346.74 |