- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,492.88 / $5,116.62 / $23,359.43
| Facility | | $1,492.88 | $5,116.62 | $23,359.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,082.67 / $17,370.36 / $35,350.23
| Facility | | $1,082.67 | $17,370.36 | $35,350.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,813.70 / $3,813.70 / $6,353.58
| Facility | | $3,813.70 | $3,813.70 | $6,353.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,010.94 / $1,734.85 / $6,300.19
| Facility | | $1,010.94 | $1,734.85 | $6,300.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.72 / $1,546.36 / $1,626.09
| Facility | | $1,146.72 | $1,546.36 | $1,626.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,082.67 / $1,109.14 / $2,373.40
| Facility | | $1,082.67 | $1,109.14 | $2,373.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,983.48 / $18,469.48 / $35,350.23
| Facility | | $11,983.48 | $18,469.48 | $35,350.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,519.00 / $23,324.50 / $37,308.08
| Facility | | $5,519.00 | $23,324.50 | $37,308.08 |