- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $12,022.64 / $18,197.01
| Facility | | $3,801.89 | $12,022.64 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $24,547.09 / $43,651.58
| Facility | | $13,803.84 | $24,547.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $1,122.02 / $18,197.01
| Facility | | $1,122.02 | $1,122.02 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $1,698.24 / $3,467.37
| Facility | | $1,348.96 | $1,698.24 | $3,467.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $20,417.38 / $25,703.96
| Facility | | $3,467.37 | $20,417.38 | $25,703.96 |