- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $11,748.98 / $44,668.36
| Facility | | $1,621.81 | $11,748.98 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,162.28 / $8,511.38 / $60,255.96
| Facility | | $3,162.28 | $8,511.38 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $794.33 / $794.33
| Facility | | $794.33 | $794.33 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $676.08 / $46,773.51
| Facility | | $676.08 | $676.08 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $25,703.96 / $41,686.94
| Facility | | $13,182.57 | $25,703.96 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $32,359.37 / $32,359.37
| Facility | | $32,359.37 | $32,359.37 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $14,791.08 / $22,908.68
| Facility | | $4,365.16 | $14,791.08 | $22,908.68 |