- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $4,466.84 / $5,495.41
| Facility | | $1,621.81 | $4,466.84 | $5,495.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $5,888.44 / $46,773.51
| Facility | | $2,187.76 | $5,888.44 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $17,782.79 / $17,782.79
| Facility | | $17,782.79 | $17,782.79 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $457.09 / $954.99
| Facility | | $275.42 | $457.09 | $954.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $39,810.72 / $58,884.37
| Facility | | $32,359.37 | $39,810.72 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $10,232.93 / $85,113.80
| Facility | | $2,089.30 | $10,232.93 | $85,113.80 |