- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $4,570.88 / $15,135.61
| Facility | | $1,148.15 | $4,570.88 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $8,317.64 / $16,218.10
| Facility | | $4,897.79 | $8,317.64 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $4,466.84 / $4,466.84
| Facility | | $316.23 | $4,466.84 | $4,466.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $16,982.44
| Facility | | $54.95 | $56.23 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $3,715.35 / $12,302.69
| Facility | | $436.52 | $3,715.35 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $398.11 / $870.96 / $10,232.93
| Facility | | $398.11 | $870.96 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $10,715.19 / $22,908.68
| Facility | | $4,570.88 | $10,715.19 | $22,908.68 |