- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,078.07 / $7,489.85 / $23,717.40
| Facility | | $1,078.07 | $7,489.85 | $23,717.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,555.68 / $20,273.81 / $38,781.51
| Facility | | $5,555.68 | $20,273.81 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $11,508.64
| Facility | | $714.97 | $870.49 | $11,508.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $608.13 / $1,240.07 / $9,130.56
| Facility | | $608.13 | $1,240.07 | $9,130.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $805.56 / $1,108.84 / $1,182.55
| Facility | | $805.56 | $1,108.84 | $1,182.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $783.24 / $806.61 / $8,497.21
| Facility | | $783.24 | $806.61 | $8,497.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,146.66 / $20,262.22 / $38,781.51
| Facility | | $13,146.66 | $20,262.22 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,547.00 / $2,408.00 / $10,522.00
| Facility | | $1,547.00 | $2,408.00 | $10,522.00 |