- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $3,715.35 / $33,113.11
| Facility | | $316.23 | $3,715.35 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $21,379.62 / $57,543.99
| Facility | | $20,417.38 | $21,379.62 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $501.19 / $501.19
| Facility | | $501.19 | $501.19 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $42,657.95 / $77,624.71
| Facility | | $3,311.31 | $42,657.95 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $2,691.53 / $29,512.09
| Facility | | $371.54 | $2,691.53 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $245.47 / $562.34
| Facility | | $245.47 | $245.47 | $562.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.33 / $251.19 / $407.38
| Facility | | $93.33 | $251.19 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,890.45 / $13,489.63 / $61,659.50
| Facility | | $3,890.45 | $13,489.63 | $61,659.50 |