- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $1,621.81 / $1,698.24
| Facility | | $1,548.82 | $1,621.81 | $1,698.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $537.03 / $1,047.13
| Facility | | $316.23 | $537.03 | $1,047.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $16.98 / $32.36
| Facility | | $12.02 | $16.98 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $1,445.44 / $2,691.53
| Facility | | $501.19 | $1,445.44 | $2,691.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $3,801.89 / $3,801.89
| Facility | | $707.95 | $3,801.89 | $3,801.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $1,621.81 / $1,698.24
| Facility | | $676.08 | $1,621.81 | $1,698.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $977.24 / $1,000.00
| Facility | | $263.03 | $977.24 | $1,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $1,230.27 / $2,951.21
| Facility | | $562.34 | $1,230.27 | $2,951.21 |