- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $14,791.08 / $51,286.14
| Facility | | $2,454.71 | $14,791.08 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $707.95 / $954.99
| Facility | | $501.19 | $707.95 | $954.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,949.84 / $3,715.35 / $12,022.64
| Facility | | $1,949.84 | $3,715.35 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $3,311.31 / $3,467.37
| Facility | | $2,818.38 | $3,311.31 | $3,467.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $2,344.23 / $6,918.31
| Facility | | $2,344.23 | $2,344.23 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $29,512.09 / $56,234.13
| Facility | | $22,387.21 | $29,512.09 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,235.94 / $30,199.52 / $58,884.37
| Facility | | $3,235.94 | $30,199.52 | $58,884.37 |