- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $16,595.87 / $74,131.02
| Facility | | $6,025.60 | $16,595.87 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $398.11 / $1,047.13 / $1,047.13
| Facility | | $398.11 | $1,047.13 | $1,047.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $14,791.08 / $14,791.08
| Facility | | $14,791.08 | $14,791.08 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.40 / $489.78 / $691.83
| Facility | | $288.40 | $489.78 | $691.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $1,949.84 / $30,199.52
| Facility | | $380.19 | $1,949.84 | $30,199.52 |