- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $4,570.88 / $15,135.61
| Facility | | $1,096.48 | $4,570.88 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $19,054.61 / $37,153.52
| Facility | | $10,232.93 | $19,054.61 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $426.58 / $426.58
| Facility | | $426.58 | $426.58 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $14,454.40 / $14,454.40
| Facility | | $14,454.40 | $14,454.40 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $50,118.72 / $57,543.99
| Facility | | $50,118.72 | $50,118.72 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $1,659.59 / $7,413.10
| Facility | | $501.19 | $1,659.59 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $1,202.26 / $2,344.23
| Facility | | $467.74 | $1,202.26 | $2,344.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $10,964.78 / $23,442.29
| Facility | | $4,570.88 | $10,964.78 | $23,442.29 |