- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $15,488.17 / $58,884.37
| Facility | | $2,818.38 | $15,488.17 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $758.58 / $870.96
| Facility | | $707.95 | $758.58 | $870.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,041.74 / $3,715.35 / $45,708.82
| Facility | | $2,041.74 | $3,715.35 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,019.95 / $3,467.37 / $3,630.78
| Facility | | $3,019.95 | $3,467.37 | $3,630.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.89 / $2,511.89 / $7,762.47
| Facility | | $2,511.89 | $2,511.89 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $52,480.75 / $100,000.00
| Facility | | $41,686.94 | $52,480.75 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $79,432.82 / $154,881.66
| Facility | | $8,128.31 | $79,432.82 | $154,881.66 |