- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $7,762.47 / $20,892.96
| Facility | | $1,202.26 | $7,762.47 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $645.65 / $1,122.02 / $2,818.38
| Facility | | $645.65 | $1,122.02 | $2,818.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $1,445.44 / $8,128.31
| Facility | | $831.76 | $1,445.44 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $1,202.26 / $1,288.25
| Facility | | $851.14 | $1,202.26 | $1,288.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.96 / $870.96 / $977.24
| Facility | | $870.96 | $870.96 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $8,128.31 / $15,488.17
| Facility | | $5,370.32 | $8,128.31 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $8,912.51 / $16,595.87
| Facility | | $1,047.13 | $8,912.51 | $16,595.87 |