- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157.16 / $264.58 / $5,554.56
| Facility | | $157.16 | $264.58 | $5,554.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $756.32 / $37,297.79 / $77,741.20
| Facility | | $756.32 | $37,297.79 | $77,741.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,090.17 / $1,546.79 / $3,721.02
| Facility | | $1,090.17 | $1,546.79 | $3,721.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $963.72 / $1,414.14 / $2,929.94
| Facility | | $963.72 | $1,414.14 | $2,929.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $233.35 / $546.62 / $4,172.20
| Facility | | $233.35 | $546.62 | $4,172.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,891.00 / $12,967.00 / $32,027.00
| Facility | | $5,891.00 | $12,967.00 | $32,027.00 |