- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,520.93 / $8,617.81 / $31,602.88
| Facility | | $1,520.93 | $8,617.81 | $31,602.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,886.41 / $16,673.66 / $31,278.54
| Facility | | $9,886.41 | $16,673.66 | $31,278.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,572.59 / $5,572.59 / $9,283.87
| Facility | | $5,572.59 | $5,572.59 | $9,283.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,030.26 / $1,873.19 / $12,028.17
| Facility | | $1,030.26 | $1,873.19 | $12,028.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,249.01 / $1,618.36 / $1,679.02
| Facility | | $1,249.01 | $1,618.36 | $1,679.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,116.65 / $1,145.24 / $3,337.04
| Facility | | $1,116.65 | $1,145.24 | $3,337.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,603.20 / $16,342.14 / $31,278.54
| Facility | | $10,603.20 | $16,342.14 | $31,278.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $4,686.00 / $20,708.00
| Facility | | $3,028.00 | $4,686.00 | $20,708.00 |