- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $3,890.45 / $60,255.96
| Facility | | $363.08 | $3,890.45 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $758.58 / $50,118.72
| Facility | | $630.96 | $758.58 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $371.54 / $28,183.83
| Facility | | $190.55 | $371.54 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $588.84 / $891.25
| Facility | | $363.08 | $588.84 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $602.56 / $13,489.63
| Facility | | $354.81 | $602.56 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $61,659.50 / $117,489.76
| Facility | | $45,708.82 | $61,659.50 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $57,543.99 / $109,647.82
| Facility | | $11,220.18 | $57,543.99 | $109,647.82 |