- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $5,248.07 / $9,549.93
| Facility | | $831.76 | $5,248.07 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $6,606.93 / $57,543.99
| Facility | | $6,456.54 | $6,606.93 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,754.23 / $8,511.38 / $16,218.10
| Facility | | $2,754.23 | $8,511.38 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $4,786.30 / $9,332.54
| Facility | | $812.83 | $4,786.30 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $501.19 / $676.08
| Facility | | $501.19 | $501.19 | $676.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $426.58 / $478.63
| Facility | | $331.13 | $426.58 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $3,981.07 / $10,964.78
| Facility | | $2,089.30 | $3,981.07 | $10,964.78 |