- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $12,589.25 / $41,686.94
| Facility | | $1,230.27 | $12,589.25 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $1,071.52 / $24,547.09
| Facility | | $891.25 | $1,071.52 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $1,819.70 / $19,498.45
| Facility | | $933.25 | $1,819.70 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $1,698.24 / $1,778.28
| Facility | | $1,380.38 | $1,698.24 | $1,778.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $1,230.27 / $6,025.60
| Facility | | $1,174.90 | $1,230.27 | $6,025.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $37,153.52 / $70,794.58
| Facility | | $26,915.35 | $37,153.52 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $38,018.94 / $72,443.60
| Facility | | $4,265.80 | $38,018.94 | $72,443.60 |