- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $10,715.19 / $37,153.52
| Facility | | $446.68 | $10,715.19 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $53,703.18 / $97,723.72
| Facility | | $28,840.32 | $53,703.18 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $407.38 / $436.52
| Facility | | $371.54 | $407.38 | $436.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $33,884.42 / $33,884.42
| Facility | | $33,884.42 | $33,884.42 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $24,547.09 / $54,954.09
| Facility | | $14,454.40 | $24,547.09 | $54,954.09 |