- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $6,309.57 / $12,302.69
| Facility | | $1,258.93 | $6,309.57 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $28,840.32 / $46,773.51
| Facility | | $18,620.87 | $28,840.32 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $5,495.41 / $15,848.93
| Facility | | $5,495.41 | $5,495.41 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $9,120.11 / $23,988.33
| Facility | | $851.14 | $9,120.11 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $16,218.10 / $25,703.96
| Facility | | $5,495.41 | $16,218.10 | $25,703.96 |