- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $5,495.41 / $18,620.87
| Facility | | $1,445.44 | $5,495.41 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $16,982.44 / $26,915.35
| Facility | | $12,589.25 | $16,982.44 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $27,542.29 / $33,884.42
| Facility | | $22,908.68 | $27,542.29 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $5,888.44 / $17,378.01
| Facility | | $549.54 | $5,888.44 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $10,964.78 / $17,378.01
| Facility | | $2,951.21 | $10,964.78 | $17,378.01 |