- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $6,918.31 / $17,378.01
| Facility | | $1,348.96 | $6,918.31 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $14,125.38 / $34,673.69
| Facility | | $6,165.95 | $14,125.38 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $1,348.96 / $13,803.84
| Facility | | $1,348.96 | $1,348.96 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $25,703.96 / $50,118.72
| Facility | | $12,589.25 | $25,703.96 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $1,023.29 / $3,890.45
| Facility | | $363.08 | $1,023.29 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $43,651.58 / $74,131.02
| Facility | | $30,199.52 | $43,651.58 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $6,606.93 / $50,118.72
| Facility | | $1,096.48 | $6,606.93 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $12,022.64 / $33,113.11
| Facility | | $2,884.03 | $12,022.64 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $1,288.25 / $3,715.35
| Facility | | $758.58 | $1,288.25 | $3,715.35 |