- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $4,786.30 / $21,877.62
| Facility | | $549.54 | $4,786.30 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $36,307.81 / $57,543.99
| Facility | | $23,988.33 | $36,307.81 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $5,370.32 / $7,244.36
| Facility | | $5,248.07 | $5,370.32 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $2,398.83 / $28,840.32
| Facility | | $1,348.96 | $2,398.83 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $3,801.89 / $16,218.10
| Facility | | $537.03 | $3,801.89 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.03 / $131.83 / $380.19
| Facility | | $123.03 | $131.83 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $1,949.84 / $22,908.68
| Facility | | $162.18 | $1,949.84 | $22,908.68 |