- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $13,182.57 / $87,096.36
| Facility | | $954.99 | $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
- $16,982.44 / $16,982.44 / $21,877.62
| Facility | | $16,982.44 | $16,982.44 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $512.86 / $831.76
| Facility | | $354.81 | $512.86 | $831.76 |
- 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 |