- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,238.38 / $5,116.62 / $20,680.40
| Facility | | $1,238.38 | $5,116.62 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,383.83 / $20,273.81 / $38,781.51
| Facility | | $9,383.83 | $20,273.81 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $11,540.93
| Facility | | $714.97 | $870.49 | $11,540.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $721.16 / $1,468.61 / $10,121.02
| Facility | | $721.16 | $1,468.61 | $10,121.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $939.82 / $1,285.06 / $1,366.80
| Facility | | $939.82 | $1,285.06 | $1,366.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $908.27 / $932.28 / $9,383.83
| Facility | | $908.27 | $932.28 | $9,383.83 |
- 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
- $3,028.00 / $5,547.00 / $19,271.00
| Facility | | $3,028.00 | $5,547.00 | $19,271.00 |