- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $2,344.23 / $4,897.79
| Facility | | $371.54 | $2,344.23 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $36,307.81 / $52,480.75
| Facility | | $19,952.62 | $36,307.81 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $354.81 / $380.19
| Facility | | $323.59 | $354.81 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $575.44 / $575.44
| Facility | | $380.19 | $575.44 | $575.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.54 / $5,754.40 / $12,022.64
| Facility | | $1,412.54 | $5,754.40 | $12,022.64 |