- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,607.11 / $5,116.62 / $20,680.40
| Facility | | $1,607.11 | $5,116.62 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,175.54 / $20,128.48 / $40,963.26
| Facility | | $1,175.54 | $20,128.48 | $40,963.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,437.81 / $4,437.81 / $7,393.34
| Facility | | $4,437.81 | $4,437.81 | $7,393.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,080.58 / $1,960.34 / $6,933.22
| Facility | | $1,080.58 | $1,960.34 | $6,933.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,212.70 / $1,620.44 / $1,764.11
| Facility | | $1,212.70 | $1,620.44 | $1,764.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,175.54 / $1,203.28 / $2,928.53
| Facility | | $1,175.54 | $1,203.28 | $2,928.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,886.25 / $21,402.13 / $40,963.26
| Facility | | $13,886.25 | $21,402.13 | $40,963.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $3,297.00 / $12,835.00
| Facility | | $2,155.00 | $3,297.00 | $12,835.00 |