- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,691.53 / $5,370.32 / $53,703.18
| Facility | | $2,691.53 | $5,370.32 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $22,908.68 / $91,201.08
| Facility | | $9,120.11 | $22,908.68 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $35,481.34 / $50,118.72
| Facility | | $741.31 | $35,481.34 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $13,182.57 / $13,182.57
| Facility | | $13,182.57 | $13,182.57 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $2,398.83 / $2,398.83
| Facility | | $2,344.23 | $2,398.83 | $2,398.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $13,489.63 / $18,197.01
| Facility | | $8,709.64 | $13,489.63 | $18,197.01 |