- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $3,548.13 / $18,620.87
| Facility | | $1,023.29 | $3,548.13 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $562.34 / $4,466.84
| Facility | | $467.74 | $562.34 | $4,466.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $1,122.02 / $4,265.80
| Facility | | $575.44 | $1,122.02 | $4,265.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $1,023.29 / $1,096.48
| Facility | | $812.83 | $1,023.29 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $758.58 / $977.24
| Facility | | $724.44 | $758.58 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $9,120.11 / $17,378.01
| Facility | | $6,165.95 | $9,120.11 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $10,471.29 / $18,620.87
| Facility | | $1,995.26 | $10,471.29 | $18,620.87 |