- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $6,456.54 / $21,877.62
| Facility | | $1,122.02 | $6,456.54 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $7,079.46 / $7,079.46
| Facility | | $7,079.46 | $7,079.46 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $1,584.89 / $23,988.33
| Facility | | $1,023.29 | $1,584.89 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $1,230.27 / $1,318.26
| Facility | | $1,071.52 | $1,230.27 | $1,318.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $891.25 / $891.25
| Facility | | $891.25 | $891.25 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $15,488.17 / $29,512.09
| Facility | | $10,715.19 | $15,488.17 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $20,417.38 / $33,113.11
| Facility | | $4,677.35 | $20,417.38 | $33,113.11 |