- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $2,691.53 / $8,317.64
| Facility | | $602.56 | $2,691.53 | $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
- $0.50 / $10,471.29 / $38,904.51
| Facility | | $0.50 | $10,471.29 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $2,344.23 / $8,317.64
| Facility | | $602.56 | $2,344.23 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $478.63 / $741.31
| Facility | | $478.63 | $478.63 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $309.03 / $398.11
| Facility | | $309.03 | $309.03 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $4,365.16 / $11,220.18
| Facility | | $2,344.23 | $4,365.16 | $11,220.18 |