- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.25 / $3,235.94 / $8,317.64
| Facility | | $776.25 | $3,235.94 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $26,302.68 / $52,480.75
| Facility | | $11,481.54 | $26,302.68 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $302.00 / $309.03
| Facility | | $79.43 | $302.00 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $28,840.32 / $83,176.38
| Facility | | $28,840.32 | $28,840.32 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $446.68 / $3,715.35
| Facility | | $281.84 | $446.68 | $3,715.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $371.54 / $691.83
| Facility | | $263.03 | $371.54 | $691.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $7,244.36 / $38,018.94
| Facility | | $2,187.76 | $7,244.36 | $38,018.94 |