- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,347.50 / $7,920.26 / $23,177.85
| Facility | | $1,347.50 | $7,920.26 | $23,177.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,886.41 / $27,343.05 / $55,801.25
| Facility | | $9,886.41 | $27,343.05 | $55,801.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,960.89 / $6,960.89 / $11,596.76
| Facility | | $6,960.89 | $6,960.89 | $11,596.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,008.50 / $1,754.10 / $15,969.29
| Facility | | $1,008.50 | $1,754.10 | $15,969.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,108.38 / $1,422.52 / $1,678.35
| Facility | | $1,108.38 | $1,422.52 | $1,678.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $983.92 / $1,007.23 / $2,429.53
| Facility | | $983.92 | $1,007.23 | $2,429.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,785.40 / $27,419.55 / $55,801.25
| Facility | | $12,785.40 | $27,419.55 | $55,801.25 |
- 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 |