- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $4,168.69 / $12,882.50
| Facility | | $1,071.52 | $4,168.69 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,041.74 / $3,890.45 / $7,762.47
| Facility | | $2,041.74 | $3,890.45 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.96 / $3,548.13 / $7,413.10
| Facility | | $870.96 | $3,548.13 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $2,754.23 / $2,754.23
| Facility | | $263.03 | $2,754.23 | $2,754.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $1,862.09 / $2,344.23
| Facility | | $512.86 | $1,862.09 | $2,344.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $42,657.95 / $42,657.95
| Facility | | $7,943.28 | $42,657.95 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $436.52 / $3,981.07
| Facility | | $295.12 | $436.52 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.40 / $398.11 / $691.83
| Facility | | $288.40 | $398.11 | $691.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $3,981.07 / $8,511.38
| Facility | | $1,380.38 | $3,981.07 | $8,511.38 |