- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $13,182.57 / $87,096.36
| Facility | | $891.25 | $13,182.57 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $24,547.09 / $45,708.82
| Facility | | $8,511.38 | $24,547.09 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $9,549.93 / $9,549.93
| Facility | | $9,549.93 | $9,549.93 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $549.54 / $912.01
| Facility | | $380.19 | $549.54 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $23,988.33 / $41,686.94
| Facility | | $9,772.37 | $23,988.33 | $41,686.94 |