- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $12,589.25 / $32,359.37
| Facility | | $1,047.13 | $12,589.25 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $4,073.80 / $6,760.83
| Facility | | $4,073.80 | $4,073.80 | $6,760.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $1,096.48 / $15,488.17
| Facility | | $588.84 | $1,096.48 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $851.14 / $933.25
| Facility | | $724.44 | $851.14 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $630.96 / $630.96
| Facility | | $616.60 | $630.96 | $630.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $16,218.10 / $31,622.78
| Facility | | $10,715.19 | $16,218.10 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $20,892.96 / $36,307.81
| Facility | | $4,265.80 | $20,892.96 | $36,307.81 |