- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $6,025.60 / $17,782.79
| Facility | | $1,023.29 | $6,025.60 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $758.58 / $4,466.84
| Facility | | $630.96 | $758.58 | $4,466.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $954.99 / $4,265.80
| Facility | | $467.74 | $954.99 | $4,265.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691.83 / $954.99 / $1,148.15
| Facility | | $691.83 | $954.99 | $1,148.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $776.25 / $977.24
| Facility | | $758.58 | $776.25 | $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
- $1,122.02 / $9,549.93 / $18,620.87
| Facility | | $1,122.02 | $9,549.93 | $18,620.87 |