- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $8,912.51 / $19,952.62
| Facility | | $1,071.52 | $8,912.51 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $2,398.83 / $3,981.07
| Facility | | $2,398.83 | $2,398.83 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $1,348.96 / $8,511.38
| Facility | | $741.31 | $1,348.96 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $1,096.48 / $1,148.15
| Facility | | $891.25 | $1,096.48 | $1,148.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.25 / $794.33 / $794.33
| Facility | | $776.25 | $794.33 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $8,912.51 / $16,982.44
| Facility | | $6,456.54 | $8,912.51 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $11,220.18 / $19,498.45
| Facility | | $1,995.26 | $11,220.18 | $19,498.45 |