- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $7,943.28 / $19,952.62
| Facility | | $316.23 | $7,943.28 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $3,981.07 / $3,981.07
| Facility | | $3,981.07 | $3,981.07 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $645.65 / $7,943.28
| Facility | | $346.74 | $645.65 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $512.86 / $549.54
| Facility | | $426.58 | $512.86 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $380.19 / $380.19
| Facility | | $363.08 | $380.19 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $8,912.51 / $16,982.44
| Facility | | $5,888.44 | $8,912.51 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $11,220.18 / $19,498.45
| Facility | | $1,995.26 | $11,220.18 | $19,498.45 |