- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $4,897.79 / $6,309.57
| Facility | | $512.86 | $4,897.79 | $6,309.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $30,199.52 / $43,651.58
| Facility | | $12,589.25 | $30,199.52 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $363.08 / $407.38
| Facility | | $331.13 | $363.08 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $3,890.45 / $8,709.64
| Facility | | $426.58 | $3,890.45 | $8,709.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $10,471.29 / $18,197.01
| Facility | | $4,466.84 | $10,471.29 | $18,197.01 |