- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $2,630.27 / $14,125.38
| Facility | | $562.34 | $2,630.27 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $11,220.18 / $35,481.34
| Facility | | $10,715.19 | $11,220.18 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $501.19 / $588.84
| Facility | | $354.81 | $501.19 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $676.08 / $676.08
| Facility | | $34.67 | $676.08 | $676.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,019.95 / $28,183.83 / $81,283.05
| Facility | | $3,019.95 | $28,183.83 | $81,283.05 |