- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $7,244.36 / $11,481.54
| Facility | | $1,288.25 | $7,244.36 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $21,379.62 / $57,543.99
| Facility | | $20,417.38 | $21,379.62 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,737.80 / $7,762.47 / $17,378.01
| Facility | | $1,737.80 | $7,762.47 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $5,623.41 / $11,481.54
| Facility | | $1,047.13 | $5,623.41 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $1,202.26 / $1,949.84
| Facility | | $1,202.26 | $1,202.26 | $1,949.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $851.14 / $1,122.02
| Facility | | $851.14 | $851.14 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $3,981.07 / $15,488.17
| Facility | | $2,137.96 | $3,981.07 | $15,488.17 |