- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $4,073.80 / $11,481.54
| Facility | | $933.25 | $4,073.80 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $12,589.25 / $43,651.58
| Facility | | $5,011.87 | $12,589.25 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.96 / $1,995.26 / $12,302.69
| Facility | | $870.96 | $1,995.26 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $1,023.29 / $50,118.72
| Facility | | $34.67 | $1,023.29 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691.83 / $831.76 / $2,630.27
| Facility | | $691.83 | $831.76 | $2,630.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $6,918.31 / $6,918.31
| Facility | | $6,918.31 | $6,918.31 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $4,786.30 / $39,810.72
| Facility | | $2,238.72 | $4,786.30 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $50,118.72 / $75,857.76
| Facility | | $549.54 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $15,135.61 / $61,659.50
| Facility | | $2,818.38 | $15,135.61 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $2,187.76 / $6,918.31
| Facility | | $489.78 | $2,187.76 | $6,918.31 |