- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,659.59 / $3,548.13 / $18,620.87
| Facility | | $1,659.59 | $3,548.13 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $1,479.11 / $25,703.96
| Facility | | $707.95 | $1,479.11 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $1,819.70 / $17,378.01
| Facility | | $831.76 | $1,819.70 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $1,698.24 / $1,819.70
| Facility | | $1,258.93 | $1,698.24 | $1,819.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $1,230.27 / $6,760.83
| Facility | | $1,202.26 | $1,230.27 | $6,760.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $38,904.51 / $74,131.02
| Facility | | $25,118.86 | $38,904.51 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $33,113.11 / $63,095.73
| Facility | | $4,265.80 | $33,113.11 | $63,095.73 |