- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $3,467.37 / $19,498.45
| Facility | | $1,148.15 | $3,467.37 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $39,810.72 / $81,283.05
| Facility | | $4,570.88 | $39,810.72 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $1,047.13 / $1,174.90
| Facility | | $933.25 | $1,047.13 | $1,174.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $12,589.25 / $14,791.08
| Facility | | $12,589.25 | $12,589.25 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $11,748.98 / $17,378.01
| Facility | | $5,011.87 | $11,748.98 | $17,378.01 |