- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $3,090.30 / $9,332.54
| Facility | | $309.03 | $3,090.30 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $269.15 / $269.15
| Facility | | $269.15 | $269.15 | $269.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $389.05 / $50,118.72
| Facility | | $34.67 | $389.05 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- 62
- Low / Median / High Price
- $245.47 / $245.47 / $245.47
| Facility | 62 | $245.47 | $245.47 | $245.47 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $38.90 / $38.90 / $38.90
| Facility | AS | $38.90 | $38.90 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $257.04 / $724.44
| Facility | | $162.18 | $257.04 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $208.93 / $208.93
| Facility | | $208.93 | $208.93 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $645.65 / $1,380.38 / $1,995.26
| Facility | | $645.65 | $1,380.38 | $1,995.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $50,118.72 / $75,857.76
| Facility | | $245.47 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $2,754.23 / $4,897.79
| Facility | | $1,258.93 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $331.13 / $380.19
| Facility | | $181.97 | $331.13 | $380.19 |