- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $9,120.11 / $16,595.87
| Facility | | $1,445.44 | $9,120.11 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $20,892.96 / $39,810.72
| Facility | | $8,912.51 | $20,892.96 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $17,782.79 / $17,782.79
| Facility | | $17,782.79 | $17,782.79 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $794.33 / $1,230.27
| Facility | | $537.03 | $794.33 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $23,442.29 / $39,810.72
| Facility | | $8,317.64 | $23,442.29 | $39,810.72 |