- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $4,466.84 / $6,760.83
| Facility | | $4,466.84 | $4,466.84 | $6,760.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $91.20 / $3,467.37
| Facility | | $74.13 | $91.20 | $3,467.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $25,118.86 / $40,738.03
| Facility | | $25,118.86 | $25,118.86 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $257.04 / $19,498.45
| Facility | | $141.25 | $257.04 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $25,118.86 / $40,738.03
| Facility | | $25,118.86 | $25,118.86 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $5,495.41 / $5,495.41
| Facility | | $5,495.41 | $5,495.41 | $5,495.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $3,311.31 / $9,772.37
| Facility | | $2,454.71 | $3,311.31 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $23,442.29 / $63,095.73
| Facility | | $5,370.32 | $23,442.29 | $63,095.73 |