- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $13,182.57 / $38,904.51
| Facility | | $1,698.24 | $13,182.57 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $6,918.31 / $11,481.54
| Facility | | $6,918.31 | $6,918.31 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $2,137.96 / $26,302.68
| Facility | | $1,258.93 | $2,137.96 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $1,737.80 / $1,819.70
| Facility | | $1,445.44 | $1,737.80 | $1,819.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $1,230.27 / $1,230.27
| Facility | | $1,202.26 | $1,230.27 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,840.32 / $56,234.13
| Facility | | $19,054.61 | $28,840.32 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $36,307.81 / $63,095.73
| Facility | | $4,265.80 | $36,307.81 | $63,095.73 |