- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $10,471.29 / $32,359.37
| Facility | | $4,677.35 | $10,471.29 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $13,182.57 / $51,286.14
| Facility | | $8,912.51 | $13,182.57 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $26,915.35 / $38,018.94
| Facility | | $851.14 | $26,915.35 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $19,952.62 / $26,302.68
| Facility | | $19,498.45 | $19,952.62 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $11,220.18 / $30,199.52
| Facility | | $7,244.36 | $11,220.18 | $30,199.52 |