- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,078.77 / $10,596.56 / $27,982.24
| Facility | | $1,078.77 | $10,596.56 | $27,982.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,490.98 / $9,172.83 / $17,907.41
| Facility | | $5,490.98 | $9,172.83 | $17,907.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $883.20 / $1,075.31 / $3,740.43
| Facility | | $883.20 | $1,075.31 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $577.67 / $1,196.97 / $3,280.24
| Facility | | $577.67 | $1,196.97 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $798.94 / $1,104.83 / $1,181.21
| Facility | | $798.94 | $1,104.83 | $1,181.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.90 / $805.69 / $2,961.46
| Facility | | $776.90 | $805.69 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,006.61 / $9,172.83 / $17,546.59
| Facility | | $7,006.61 | $9,172.83 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $5,547.00 / $19,271.00
| Facility | | $3,028.00 | $5,547.00 | $19,271.00 |