- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $10,232.93 / $28,183.83
| Facility | | $2,344.23 | $10,232.93 | $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
- $1,659.59 / $2,951.21 / $26,302.68
| Facility | | $1,659.59 | $2,951.21 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $2,454.71 / $2,511.89
| Facility | | $2,089.30 | $2,454.71 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $1,737.80 / $1,737.80
| Facility | | $1,698.24 | $1,737.80 | $1,737.80 |
- 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 |