- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $7,244.36 / $12,022.64
| Facility | | $1,513.56 | $7,244.36 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $36,307.81 / $57,543.99
| Facility | | $23,988.33 | $36,307.81 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $8,317.64 / $11,748.98
| Facility | | $5,370.32 | $8,317.64 | $11,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $4,570.88 / $36,307.81
| Facility | | $4,570.88 | $4,570.88 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $6,025.60 / $12,882.50
| Facility | | $1,288.25 | $6,025.60 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $467.74 / $1,258.93
| Facility | | $436.52 | $467.74 | $1,258.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $5,495.41 / $17,378.01
| Facility | | $2,951.21 | $5,495.41 | $17,378.01 |