- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.54 / $7,943.28 / $20,892.96
| Facility | | $1,412.54 | $7,943.28 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $741.31 / $3,801.89
| Facility | | $741.31 | $741.31 | $3,801.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $1,778.28 / $9,549.93
| Facility | | $851.14 | $1,778.28 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $1,348.96 / $1,479.11
| Facility | | $954.99 | $1,348.96 | $1,479.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $1,000.00 / $1,047.13
| Facility | | $977.24 | $1,000.00 | $1,047.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $10,964.78 / $20,892.96
| Facility | | $7,244.36 | $10,964.78 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $12,022.64 / $22,387.21
| Facility | | $1,698.24 | $12,022.64 | $22,387.21 |