- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $5,248.07 / $42,657.95
| Facility | | $2,398.83 | $5,248.07 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $14,791.08 / $21,379.62
| Facility | | $13,182.57 | $14,791.08 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $53,703.18 / $61,659.50
| Facility | | $51,286.14 | $53,703.18 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $12,589.25 / $12,589.25
| Facility | | $12,589.25 | $12,589.25 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $12,589.25 / $12,589.25
| Facility | | $12,589.25 | $12,589.25 | $12,589.25 |