- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $13,841.56 / $43,675.33
| Facility | | $5,463.36 | $13,841.56 | $43,675.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,392.42 / $45,235.44 / $87,499.94
| Facility | | $34,392.42 | $45,235.44 | $87,499.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,029.05 / $1,914.84 / $53,412.59
| Facility | | $1,029.05 | $1,914.84 | $53,412.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,603.73 / $2,422.46 / $49,848.82
| Facility | | $1,603.73 | $2,422.46 | $49,848.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,221.00 / $15,686.00 / $44,635.00
| Facility | | $11,221.00 | $15,686.00 | $44,635.00 |