- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $436.52 / $7,079.46
| Facility | | $436.52 | $436.52 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $34,673.69 / $91,201.08
| Facility | | $16,982.44 | $34,673.69 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $1,479.11 / $3,548.13
| Facility | | $1,047.13 | $1,479.11 | $3,548.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $1,445.44 / $2,818.38
| Facility | | $1,148.15 | $1,445.44 | $2,818.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $851.14 / $12,022.64
| Facility | | $446.68 | $851.14 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $6,309.57 / $13,182.57
| Facility | | $1,584.89 | $6,309.57 | $13,182.57 |