- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $8,128.31 / $21,877.62
| Facility | | $1,230.27 | $8,128.31 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $1,071.52 / $13,182.57
| Facility | | $891.25 | $1,071.52 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $1,348.96 / $12,022.64
| Facility | | $707.95 | $1,348.96 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $1,258.93 / $1,318.26
| Facility | | $954.99 | $1,258.93 | $1,318.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $912.01 / $2,884.03
| Facility | | $891.25 | $912.01 | $2,884.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $20,417.38 / $38,904.51
| Facility | | $13,803.84 | $20,417.38 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $21,379.62 / $41,686.94
| Facility | | $4,265.80 | $21,379.62 | $41,686.94 |