- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $2,187.76 / $7,943.28
| Facility | | $1,445.44 | $2,187.76 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $32,359.37 / $43,651.58
| Facility | | $25,118.86 | $32,359.37 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $37,153.52 / $37,153.52
| Facility | | $37,153.52 | $37,153.52 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $323.59 / $2,754.23
| Facility | | $28.84 | $323.59 | $2,754.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $5,128.61 / $6,309.57
| Facility | | $6.17 | $5,128.61 | $6,309.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.89 / $2,511.89 / $5,370.32
| Facility | | $2,511.89 | $2,511.89 | $5,370.32 |