- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $4,897.79 / $14,125.38
| Facility | | $1,174.90 | $4,897.79 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $35,481.34 / $52,480.75
| Facility | | $4,365.16 | $35,481.34 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $794.33 / $891.25
| Facility | | $707.95 | $794.33 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $13,182.57 / $15,848.93
| Facility | | $13,182.57 | $13,182.57 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $11,748.98 / $17,378.01
| Facility | | $5,128.61 | $11,748.98 | $17,378.01 |