- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $6,456.54 / $32,359.37
| Facility | | $1,819.70 | $6,456.54 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $16,982.44 / $64,565.42
| Facility | | $6,165.95 | $16,982.44 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $1,819.70 / $15,135.61
| Facility | | $1,819.70 | $1,819.70 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $25,703.96 / $53,703.18
| Facility | | $13,489.63 | $25,703.96 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $1,737.80 / $4,570.88
| Facility | | $1,258.93 | $1,737.80 | $4,570.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $16,982.44 / $75,857.76
| Facility | | $1,513.56 | $16,982.44 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $12,022.64 / $32,359.37
| Facility | | $2,818.38 | $12,022.64 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $1,778.28 / $4,897.79
| Facility | | $1,047.13 | $1,778.28 | $4,897.79 |