- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,111.74 / $6,529.15 / $27,433.06
| Facility | | $1,111.74 | $6,529.15 | $27,433.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,991.00 / $16,367.00 / $50,599.85
| Facility | | $4,991.00 | $16,367.00 | $50,599.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,161.71 / $1,640.07 / $2,460.11
| Facility | | $1,161.71 | $1,640.07 | $2,460.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,029.47 / $37,029.47 / $37,029.47
| Facility | | $37,029.47 | $37,029.47 | $37,029.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,030.00 / $19,133.00 / $26,935.00
| Facility | | $13,030.00 | $19,133.00 | $26,935.00 |