- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,737.80 / $9,332.54 / $32,359.37
| Facility | | $1,737.80 | $9,332.54 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $5,888.44 / $30,199.52
| Facility | | $2,137.96 | $5,888.44 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $977.24 / $1,122.02
| Facility | | $933.25 | $977.24 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $1,148.15 / $21,379.62
| Facility | | $831.76 | $1,148.15 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $9,120.11 / $29,512.09
| Facility | | $8,128.31 | $9,120.11 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $13,182.57
| Facility | | $100.00 | $100.00 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $9,332.54 / $14,125.38
| Facility | | $4,265.80 | $9,332.54 | $14,125.38 |