- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,231.88 / $7,920.26 / $30,494.41
| Facility | | $1,231.88 | $7,920.26 | $30,494.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,526.97 / $19,913.50 / $38,781.51
| Facility | | $6,526.97 | $19,913.50 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $883.20 / $1,075.31 / $8,315.84
| Facility | | $883.20 | $1,075.31 | $8,315.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $704.84 / $1,432.66 / $7,292.72
| Facility | | $704.84 | $1,432.66 | $7,292.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $927.08 / $1,272.33 / $1,358.09
| Facility | | $927.08 | $1,272.33 | $1,358.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.96 / $926.34 / $6,526.97
| Facility | | $891.96 | $926.34 | $6,526.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,146.66 / $20,262.22 / $38,781.51
| Facility | | $13,146.66 | $20,262.22 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $3,129.00 / $11,941.00
| Facility | | $2,155.00 | $3,129.00 | $11,941.00 |