- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $9,772.37 / $25,118.86
| Facility | | $1,445.44 | $9,772.37 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $27,542.29 / $32,359.37
| Facility | | $15,848.93 | $27,542.29 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $1,318.26 / $2,238.72
| Facility | | $933.25 | $1,318.26 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $26,302.68 / $43,651.58
| Facility | | $12,022.64 | $26,302.68 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $14,454.40 / $14,454.40
| Facility | | $14,454.40 | $14,454.40 | $14,454.40 |