- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $30,902.95 / $35,481.34
| Facility | | $169.82 | $30,902.95 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $20,892.96 / $27,542.29
| Facility | | $15,488.17 | $20,892.96 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,090.30 / $9,120.11 / $22,908.68
| Facility | | $3,090.30 | $9,120.11 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $380.19 / $1,778.28
| Facility | | $177.83 | $380.19 | $1,778.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $707.95 / $1,778.28
| Facility | | $338.84 | $707.95 | $1,778.28 |