- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,098.02 / $11,333.92 / $27,982.24
| Facility | | $1,098.02 | $11,333.92 | $27,982.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $814.49 / $37,297.19 / $71,345.31
| Facility | | $814.49 | $37,297.19 | $71,345.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,459.41 / $14,459.41 / $24,089.21
| Facility | | $14,459.41 | $14,459.41 | $24,089.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $814.43 / $1,471.70 / $45,965.51
| Facility | | $814.43 | $1,471.70 | $45,965.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $821.10 / $1,213.29 / $1,251.56
| Facility | | $821.10 | $1,213.29 | $1,251.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $814.49 / $853.68 / $8,056.16
| Facility | | $814.49 | $853.68 | $8,056.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,489.22 / $37,297.19 / $71,345.31
| Facility | | $28,489.22 | $37,297.19 | $71,345.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $4,686.00 / $20,708.00
| Facility | | $3,028.00 | $4,686.00 | $20,708.00 |