- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $4,265.80 / $10,232.93
| Facility | | $630.96 | $4,265.80 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $4,786.30 / $10,232.93
| Facility | | $2,630.27 | $4,786.30 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $1,995.26 / $8,912.51
| Facility | | $602.56 | $1,995.26 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $1,698.24 / $50,118.72
| Facility | | $707.95 | $1,698.24 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $562.34 / $1,412.54
| Facility | | $426.58 | $562.34 | $1,412.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $50,118.72 / $75,857.76
| Facility | | $436.52 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $3,890.45 / $8,128.31
| Facility | | $1,698.24 | $3,890.45 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $575.44 / $1,288.25
| Facility | | $346.74 | $575.44 | $1,288.25 |