- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $8,317.64 / $52,480.75
| Facility | | $1,584.89 | $8,317.64 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $8,511.38 / $77,624.71
| Facility | | $5,011.87 | $8,511.38 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $8,317.64 / $11,748.98
| Facility | | $6,606.93 | $8,317.64 | $11,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $37,153.52 / $91,201.08
| Facility | | $8,128.31 | $37,153.52 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.54 / $7,585.78 / $41,686.94
| Facility | | $1,412.54 | $7,585.78 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.96 / $933.25 / $1,905.46
| Facility | | $870.96 | $933.25 | $1,905.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,890.45 / $8,511.38 / $56,234.13
| Facility | | $3,890.45 | $8,511.38 | $56,234.13 |