- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $5,495.41 / $21,379.62
| Facility | | $812.83 | $5,495.41 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $38,904.51 / $61,659.50
| Facility | | $28,840.32 | $38,904.51 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $27,542.29 / $33,884.42
| Facility | | $9,120.11 | $27,542.29 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $8,709.64 / $28,183.83
| Facility | | $602.56 | $8,709.64 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $18,620.87 / $30,199.52
| Facility | | $4,677.35 | $18,620.87 | $30,199.52 |