- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $6,025.60 / $18,620.87
| Facility | | $1,047.13 | $6,025.60 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $912.01 / $3,311.31
| Facility | | $562.34 | $912.01 | $3,311.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $1,288.25 / $8,317.64
| Facility | | $758.58 | $1,288.25 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $1,071.52 / $1,122.02
| Facility | | $912.01 | $1,071.52 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $758.58 / $891.25
| Facility | | $741.31 | $758.58 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $9,120.11 / $17,378.01
| Facility | | $5,888.44 | $9,120.11 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $11,220.18 / $19,054.61
| Facility | | $1,862.09 | $11,220.18 | $19,054.61 |