- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $6,025.60 / $20,892.96
| Facility | | $1,122.02 | $6,025.60 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $758.58 / $2,630.27
| Facility | | $630.96 | $758.58 | $2,630.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $1,148.15 / $2,238.72
| Facility | | $549.54 | $1,148.15 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.96 / $1,122.02 / $1,202.26
| Facility | | $870.96 | $1,122.02 | $1,202.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $794.33 / $831.76
| Facility | | $794.33 | $794.33 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,890.45 / $5,495.41 / $10,471.29
| Facility | | $3,890.45 | $5,495.41 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $6,760.83 / $11,220.18
| Facility | | $1,995.26 | $6,760.83 | $11,220.18 |