- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $4,365.16 / $16,218.10
| Facility | | $1,348.96 | $4,365.16 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $53,703.18 / $107,151.93
| Facility | | $29,512.09 | $53,703.18 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $9,120.11 / $58,884.37
| Facility | | $1,202.26 | $9,120.11 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $42,657.95 / $42,657.95
| Facility | | $1,047.13 | $42,657.95 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $39,810.72 / $39,810.72
| Facility | | $39,810.72 | $39,810.72 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $33,884.42 / $158,489.32
| Facility | | $33,884.42 | $33,884.42 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $1,905.46 / $8,317.64
| Facility | | $1,096.48 | $1,905.46 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $1,584.89 / $2,818.38
| Facility | | $1,096.48 | $1,584.89 | $2,818.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $19,054.61 / $72,443.60
| Facility | | $7,585.78 | $19,054.61 | $72,443.60 |