- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,394.20 / $7,920.26 / $31,202.44
| Facility | | $1,394.20 | $7,920.26 | $31,202.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,526.97 / $19,913.50 / $38,781.51
| Facility | | $6,526.97 | $19,913.50 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $1,348.05 / $8,315.84
| Facility | | $714.97 | $1,348.05 | $8,315.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,097.39 / $2,265.39 / $7,292.72
| Facility | | $1,097.39 | $2,265.39 | $7,292.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,462.65 / $1,997.94 / $2,095.09
| Facility | | $1,462.65 | $1,997.94 | $2,095.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,389.35 / $1,429.04 / $6,526.97
| Facility | | $1,389.35 | $1,429.04 | $6,526.97 |
- 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 |