- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $9,772.37 / $77,624.71
| Facility | | $4,570.88 | $9,772.37 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $36,307.81 / $72,443.60
| Facility | | $9,120.11 | $36,307.81 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $15,488.17 / $33,884.42
| Facility | | $2,187.76 | $15,488.17 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $6,456.54 / $7,079.46
| Facility | | $6,165.95 | $6,456.54 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,589.25 / $23,442.29
| Facility | | $8,912.51 | $12,589.25 | $23,442.29 |