- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $4,168.69 / $14,125.38
| Facility | | $1,202.26 | $4,168.69 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $25,118.86 / $48,977.88
| Facility | | $12,882.50 | $25,118.86 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $1,023.29 / $1,047.13
| Facility | | $79.43 | $1,023.29 | $1,047.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $33,884.42 / $83,176.38
| Facility | | $33,884.42 | $33,884.42 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $1,584.89 / $4,677.35
| Facility | | $1,071.52 | $1,584.89 | $4,677.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $1,513.56 / $2,570.40
| Facility | | $1,096.48 | $1,513.56 | $2,570.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $10,964.78 / $23,988.33
| Facility | | $4,570.88 | $10,964.78 | $23,988.33 |