- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $263.03 / $5,495.41
| Facility | | $158.49 | $263.03 | $5,495.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $40,738.03 / $97,723.72
| Facility | | $954.99 | $40,738.03 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $1,621.81 / $3,890.45
| Facility | | $1,122.02 | $1,621.81 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $1,548.82 / $3,090.30
| Facility | | $1,258.93 | $1,548.82 | $3,090.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $575.44 / $7,413.10
| Facility | | $234.42 | $575.44 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $14,125.38 / $50,118.72
| Facility | | $5,370.32 | $14,125.38 | $50,118.72 |