- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $3,090.30 / $9,772.37
| Facility | | $501.19 | $3,090.30 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $11,481.54 / $26,302.68
| Facility | | $5,011.87 | $11,481.54 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $1,258.93 / $4,073.80
| Facility | | $467.74 | $1,258.93 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $537.03 / $50,118.72
| Facility | | $537.03 | $537.03 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $660.69 / $1,148.15
| Facility | | $338.84 | $660.69 | $1,148.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $295.12 / $295.12
| Facility | | $295.12 | $295.12 | $295.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $50,118.72 / $75,857.76
| Facility | | $295.12 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,691.53 / $8,511.38 / $36,307.81
| Facility | | $2,691.53 | $8,511.38 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $363.08 / $1,348.96
| Facility | | $257.04 | $363.08 | $1,348.96 |