- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $14,791.08 / $87,096.36
| Facility | | $446.68 | $14,791.08 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $11,748.98 / $22,387.21
| Facility | | $4,466.84 | $11,748.98 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $5,495.41 / $5,495.41
| Facility | | $5,495.41 | $5,495.41 | $5,495.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $257.04 / $549.54
| Facility | | $173.78 | $257.04 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $20,417.38 / $25,703.96
| Facility | | $8,709.64 | $20,417.38 | $25,703.96 |