- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,511.89 / $7,585.78
| Facility | | $630.96 | $2,511.89 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $28,840.32 / $56,234.13
| Facility | | $8,912.51 | $28,840.32 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $288.40 / $288.40
| Facility | | $79.43 | $288.40 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $19,498.45 / $77,624.71
| Facility | | $19,498.45 | $19,498.45 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $436.52 / $3,162.28
| Facility | | $295.12 | $436.52 | $3,162.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.40 / $380.19 / $660.69
| Facility | | $288.40 | $380.19 | $660.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $11,481.54 / $58,884.37
| Facility | | $4,570.88 | $11,481.54 | $58,884.37 |