- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $3,090.30 / $7,762.47
| Facility | | $478.63 | $3,090.30 | $7,762.47 |
- 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
- $407.38 / $1,258.93 / $4,073.80
| Facility | | $407.38 | $1,258.93 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $1,412.54 / $50,118.72
| Facility | | $478.63 | $1,412.54 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $251.19 / $602.56
| Facility | | $60.26 | $251.19 | $602.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $50,118.72 / $75,857.76
| Facility | | $269.15 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,905.46 / $4,265.80 / $9,549.93
| Facility | | $1,905.46 | $4,265.80 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $389.05 / $912.01
| Facility | | $234.42 | $389.05 | $912.01 |