- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $6,606.93 / $13,489.63
| Facility | | $1,513.56 | $6,606.93 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $21,379.62 / $57,543.99
| Facility | | $20,417.38 | $21,379.62 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $46,773.51 / $208,929.61
| Facility | | $11,220.18 | $46,773.51 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $5,754.40 / $11,220.18
| Facility | | $1,122.02 | $5,754.40 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $1,230.27 / $1,318.26
| Facility | | $1,230.27 | $1,230.27 | $1,318.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.38 / $1,023.29 / $1,659.59
| Facility | | $407.38 | $1,023.29 | $1,659.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $8,128.31 / $39,810.72
| Facility | | $3,311.31 | $8,128.31 | $39,810.72 |