- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.23 / $3,548.13 / $18,197.01
| Facility | | $120.23 | $3,548.13 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $30,902.95 / $43,651.58
| Facility | | $12,589.25 | $30,902.95 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,318.26 / $1,445.44 / $1,659.59
| Facility | | $1,318.26 | $1,445.44 | $1,659.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $2,344.23 / $3,630.78
| Facility | | $1,621.81 | $2,344.23 | $3,630.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $13,803.84 / $22,387.21
| Facility | | $6,456.54 | $13,803.84 | $22,387.21 |