- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $14,791.08 / $37,153.52
| Facility | | $6,309.57 | $14,791.08 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $85,113.80 / $165,958.69
| Facility | | $28,840.32 | $85,113.80 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $35,481.34 / $44,668.36
| Facility | | $1,122.02 | $35,481.34 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $1,698.24 / $2,818.38
| Facility | | $1,148.15 | $1,698.24 | $2,818.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $27,542.29 / $81,283.05
| Facility | | $4,365.16 | $27,542.29 | $81,283.05 |