- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,917.20 / $9,640.26 / $24,068.03
| Facility | | $4,917.20 | $9,640.26 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,828.69 / $16,873.23 / $32,638.27
| Facility | | $12,828.69 | $16,873.23 | $32,638.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.49 / $755.82 / $15,622.00
| Facility | | $400.49 | $755.82 | $15,622.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $626.42 / $937.92 / $15,665.81
| Facility | | $626.42 | $937.92 | $15,665.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,148.00 / $9,696.00 / $15,622.00
| Facility | | $8,148.00 | $9,696.00 | $15,622.00 |