- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.54 / $13,489.63 / $22,387.21
| Facility | | $1,412.54 | $13,489.63 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $416.87 / $512.86
| Facility | | $416.87 | $416.87 | $512.86 |
- 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
- $323,593.66 / $323,593.66 / $323,593.66
| Facility | | $323,593.66 | $323,593.66 | $323,593.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $34,673.69 / $87,096.36
| Facility | | $34,673.69 | $34,673.69 | $87,096.36 |