- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $8,128.31 / $21,877.62
| Facility | | $1,479.11 | $8,128.31 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $1,071.52 / $28,183.83
| Facility | | $891.25 | $1,071.52 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $1,584.89 / $22,387.21
| Facility | | $831.76 | $1,584.89 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $1,513.56 / $1,584.89
| Facility | | $1,202.26 | $1,513.56 | $1,584.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $1,071.52 / $6,760.83
| Facility | | $1,047.13 | $1,071.52 | $6,760.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $37,153.52 / $70,794.58
| Facility | | $26,915.35 | $37,153.52 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $38,018.94 / $72,443.60
| Facility | | $4,265.80 | $38,018.94 | $72,443.60 |