- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $5,370.32 / $41,686.94
| Facility | | $562.34 | $5,370.32 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $16,982.44 / $104,712.85
| Facility | | $2,630.27 | $16,982.44 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $588.84 / $28,183.83
| Facility | | $588.84 | $588.84 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $26,302.68 / $50,118.72
| Facility | | $489.78 | $26,302.68 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $588.84 / $588.84 / $588.84
| Facility | 22 | $588.84 | $588.84 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $575.44 / $1,047.13
| Facility | | $316.23 | $575.44 | $1,047.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $1,621.81 / $1,698.24
| Facility | | $1,621.81 | $1,621.81 | $1,698.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $50,118.72 / $75,857.76
| Facility | | $457.09 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,318.26 / $3,019.95 / $10,471.29
| Facility | | $1,318.26 | $3,019.95 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $537.03 / $1,096.48
| Facility | | $239.88 | $537.03 | $1,096.48 |