- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $4,897.79 / $14,454.40
| Facility | | $1,479.11 | $4,897.79 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $32,359.37 / $56,234.13
| Facility | | $12,589.25 | $32,359.37 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $1,621.81 / $1,862.09
| Facility | | $1,479.11 | $1,621.81 | $1,862.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $2,344.23 / $3,467.37
| Facility | | $1,698.24 | $2,344.23 | $3,467.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $13,803.84 / $22,387.21
| Facility | | $6,165.95 | $13,803.84 | $22,387.21 |