- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $2,511.89 / $5,754.40
| Facility | | $208.93 | $2,511.89 | $5,754.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $77.62 / $5,128.61
| Facility | | $22.39 | $77.62 | $5,128.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $2,089.30 / $7,413.10
| Facility | | $426.58 | $2,089.30 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $32.36 / $2,691.53
| Facility | | $14.13 | $32.36 | $2,691.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $3,235.94 / $8,317.64
| Facility | | $912.01 | $3,235.94 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $30,199.52 / $30,199.52
| Facility | | $794.33 | $30,199.52 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $1,513.56 / $5,495.41
| Facility | | $97.72 | $1,513.56 | $5,495.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $549.54 / $1,412.54
| Facility | | $56.23 | $549.54 | $1,412.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $2,089.30 / $8,128.31
| Facility | | $851.14 | $2,089.30 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $549.54 / $1,412.54
| Facility | | $56.23 | $549.54 | $1,412.54 |