- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $7,413.10 / $11,220.18
| Facility | | $1,348.96 | $7,413.10 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $42,657.95 / $81,283.05
| Facility | | $7,762.47 | $42,657.95 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $501.19 / $25,703.96
| Facility | | $501.19 | $501.19 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $707.95 / $1,202.26
| Facility | | $524.81 | $707.95 | $1,202.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $26,302.68 / $70,794.58
| Facility | | $9,772.37 | $26,302.68 | $70,794.58 |