- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $4,073.80 / $52,480.75
| Facility | | $537.03 | $4,073.80 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $20,892.96 / $51,286.14
| Facility | | $10,232.93 | $20,892.96 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $25,118.86 / $33,884.42
| Facility | | $14,454.40 | $25,118.86 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $691.83 / $22,387.21
| Facility | | $323.59 | $691.83 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $707.95 / $22,387.21
| Facility | | $338.84 | $707.95 | $22,387.21 |