- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.28 / $10,232.93 / $34,673.69
| Facility | | $1,778.28 | $10,232.93 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $1,071.52 / $25,703.96
| Facility | | $891.25 | $1,071.52 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $1,905.46 / $20,417.38
| Facility | | $977.24 | $1,905.46 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,318.26 / $1,778.28 / $1,905.46
| Facility | | $1,318.26 | $1,778.28 | $1,905.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $1,288.25 / $6,165.95
| Facility | | $1,258.93 | $1,288.25 | $6,165.95 |
- 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 |