- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $8,128.31 / $24,547.09
| Facility | | $1,621.81 | $8,128.31 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $676.08 / $6,918.31
| Facility | | $630.96 | $676.08 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $1,778.28 / $7,762.47
| Facility | | $891.25 | $1,778.28 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,318.26 / $1,698.24 / $1,737.80
| Facility | | $1,318.26 | $1,698.24 | $1,737.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $1,174.90 / $1,778.28
| Facility | | $1,148.15 | $1,174.90 | $1,778.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $16,595.87 / $31,622.78
| Facility | | $10,964.78 | $16,595.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $17,782.79 / $33,884.42
| Facility | | $3,467.37 | $17,782.79 | $33,884.42 |