- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,506.15 / $5,463.36 / $13,841.56
| Facility | | $1,506.15 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,881.23 / $30,095.07 / $58,213.58
| Facility | | $22,881.23 | $30,095.07 | $58,213.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,884.55 / $14,884.55 / $14,884.55
| Facility | | $14,884.55 | $14,884.55 | $14,884.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $280.27 / $499.17 / $15,523.38
| Facility | | $280.27 | $499.17 | $15,523.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.00 / $773.18 / $20,419.47
| Facility | | $524.00 | $773.18 | $20,419.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,148.00 / $9,696.00 / $15,622.00
| Facility | | $8,148.00 | $9,696.00 | $15,622.00 |