- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,326.02 / $5,116.62 / $20,047.57
| Facility | | $1,326.02 | $5,116.62 | $20,047.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,526.97 / $19,056.41 / $38,781.51
| Facility | | $6,526.97 | $19,056.41 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $8,315.84
| Facility | | $625.25 | $761.81 | $8,315.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $744.28 / $1,506.92 / $7,292.72
| Facility | | $744.28 | $1,506.92 | $7,292.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $988.82 / $1,352.73 / $1,454.57
| Facility | | $988.82 | $1,352.73 | $1,454.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $959.00 / $992.15 / $6,526.97
| Facility | | $959.00 | $992.15 | $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 |