- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $22,387.21 / $25,703.96
| Facility | | $954.99 | $22,387.21 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $42,657.95 / $89,125.09
| Facility | | $16,982.44 | $42,657.95 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,290.87 / $3,235.94 / $7,762.47
| Facility | | $2,290.87 | $3,235.94 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.89 / $3,090.30 / $6,165.95
| Facility | | $2,511.89 | $3,090.30 | $6,165.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $6,309.57 / $32,359.37
| Facility | | $1,380.38 | $6,309.57 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $12,882.50 / $46,773.51
| Facility | | $6,760.83 | $12,882.50 | $46,773.51 |