- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $3,890.45 / $8,317.64
| Facility | | $724.44 | $3,890.45 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $6,165.95 / $57,543.99
| Facility | | $5,011.87 | $6,165.95 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $6,456.54 / $6,456.54
| Facility | | $6,456.54 | $6,456.54 | $6,456.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $3,090.30 / $8,317.64
| Facility | | $831.76 | $3,090.30 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $251.19 / $389.05
| Facility | | $251.19 | $251.19 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $186.21 / $776.25
| Facility | | $42.66 | $186.21 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $3,311.31 / $6,606.93
| Facility | | $1,348.96 | $3,311.31 | $6,606.93 |