- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.38 / $41,686.94 / $42,657.95
| Facility | | $407.38 | $41,686.94 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $42,657.95 / $102,329.30
| Facility | | $13,489.63 | $42,657.95 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $1,318.26 / $3,162.28
| Facility | | $933.25 | $1,318.26 | $3,162.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $1,288.25 / $2,511.89
| Facility | | $1,023.29 | $1,288.25 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $14,454.40 / $53,703.18
| Facility | | $630.96 | $14,454.40 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $16,982.44 / $57,543.99
| Facility | | $1,584.89 | $16,982.44 | $57,543.99 |