- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,570.40 / $6,918.31
| Facility | | $630.96 | $2,570.40 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $29,512.09 / $58,884.37
| Facility | | $17,378.01 | $29,512.09 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $4,570.88 / $26,302.68
| Facility | | $295.12 | $4,570.88 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $20,892.96 / $20,892.96
| Facility | | $263.03 | $20,892.96 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $28,840.32 / $112,201.85
| Facility | | $28,840.32 | $28,840.32 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $407.38 / $2,691.53
| Facility | | $204.17 | $407.38 | $2,691.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $346.74 / $588.84
| Facility | | $190.55 | $346.74 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $17,378.01 / $58,884.37
| Facility | | $6,606.93 | $17,378.01 | $58,884.37 |