- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,132.45 / $4,264.00 / $11,182.00
| Facility | | $1,132.45 | $4,264.00 | $11,182.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $11,851.00 / $26,582.19
| Facility | | $8,639.91 | $11,851.00 | $26,582.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $903.02 / $903.02 / $903.02
| Facility | | $903.02 | $903.02 | $903.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,154.41 / $16,092.62 / $45,341.38
| Facility | | $8,154.41 | $16,092.62 | $45,341.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,183.64 / $5,350.00 / $12,474.00
| Facility | | $1,183.64 | $5,350.00 | $12,474.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $903.02 / $903.02 / $903.02
| Facility | | $903.02 | $903.02 | $903.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $783.87 / $783.87 / $859.69
| Facility | | $783.87 | $783.87 | $859.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $3,879.00 / $7,508.00
| Facility | | $2,332.00 | $3,879.00 | $7,508.00 |