- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $4,168.69 / $18,620.87
| Facility | | $489.78 | $4,168.69 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $25,703.96 / $32,359.37
| Facility | | $10,471.29 | $25,703.96 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $338.84 / $389.05
| Facility | | $331.13 | $338.84 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $3,801.89 / $3,801.89
| Facility | | $3,801.89 | $3,801.89 | $3,801.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $11,220.18 / $17,378.01
| Facility | | $4,897.79 | $11,220.18 | $17,378.01 |