- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $51,286.14 / $63,095.73
| Facility | | $245.47 | $51,286.14 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $223.87 / $239.88
| Facility | | $79.43 | $223.87 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $45,708.82 / $57,543.99
| Facility | | $38,018.94 | $45,708.82 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $1,513.56
| Facility | | $54.95 | $56.23 | $1,513.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $302.00 / $588.84
| Facility | | $223.87 | $302.00 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $323.59 / $645.65
| Facility | | $223.87 | $323.59 | $645.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $2,511.89 / $4,897.79
| Facility | | $724.44 | $2,511.89 | $4,897.79 |