- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $8,912.51 / $34,673.69
| Facility | | $1,122.02 | $8,912.51 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $47,863.01 / $97,723.72
| Facility | | $22,908.68 | $47,863.01 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $977.24 / $1,047.13
| Facility | | $891.25 | $977.24 | $1,047.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,318.26 / $1,348.96 / $2,238.72
| Facility | | $1,318.26 | $1,348.96 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $15,848.93 / $25,118.86
| Facility | | $7,244.36 | $15,848.93 | $25,118.86 |