- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.40 / $9,332.54 / $28,183.83
| Facility | | $2,570.40 | $9,332.54 | $28,183.83 |
- 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
- $1,819.70 / $3,235.94 / $15,488.17
| Facility | | $1,819.70 | $3,235.94 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $2,691.53 / $2,754.23
| Facility | | $2,238.72 | $2,691.53 | $2,754.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $1,862.09 / $1,862.09
| Facility | | $1,819.70 | $1,862.09 | $1,862.09 |
- 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 |