- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $5,888.44 / $15,848.93
| Facility | | $1,348.96 | $5,888.44 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $24,547.09 / $69,183.10
| Facility | | $6,165.95 | $24,547.09 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $891.25 / $15,135.61
| Facility | | $891.25 | $891.25 | $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
- $660.69 / $1,148.15 / $2,137.96
| Facility | | $660.69 | $1,148.15 | $2,137.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $28,183.83 / $28,183.83
| Facility | | $28,183.83 | $28,183.83 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691.83 / $16,982.44 / $75,857.76
| Facility | | $691.83 | $16,982.44 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.89 / $6,760.83 / $19,498.45
| Facility | | $2,511.89 | $6,760.83 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $851.14 / $2,398.83
| Facility | | $501.19 | $851.14 | $2,398.83 |