- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $11,611.47 / $24,068.03
| Facility | | $5,463.36 | $11,611.47 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,392.42 / $45,235.44 / $87,499.94
| Facility | | $34,392.42 | $45,235.44 | $87,499.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $370.83 / $552.62 / $47,359.82
| Facility | | $370.83 | $552.62 | $47,359.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $583.33 / $876.73 / $50,616.69
| Facility | | $583.33 | $876.73 | $50,616.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,221.00 / $14,989.00 / $44,635.00
| Facility | | $11,221.00 | $14,989.00 | $44,635.00 |