- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $7,943.28 / $14,125.38
| Facility | | $426.58 | $7,943.28 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $53,703.18 / $97,723.72
| Facility | | $21,379.62 | $53,703.18 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $371.54 / $407.38
| Facility | | $346.74 | $371.54 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $575.44 / $776.25
| Facility | | $380.19 | $575.44 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $18,197.01 / $24,547.09
| Facility | | $8,317.64 | $18,197.01 | $24,547.09 |