- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,107.58 / $5,509.95 / $27,982.24
| Facility | | $2,107.58 | $5,509.95 | $27,982.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,594.86 / $16,227.47 / $31,745.76
| Facility | | $7,594.86 | $16,227.47 | $31,745.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,005.16 / $1,223.70 / $8,773.79
| Facility | | $1,005.16 | $1,223.70 | $8,773.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,345.60 / $2,878.61 / $6,544.11
| Facility | | $1,345.60 | $2,878.61 | $6,544.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,025.41 / $3,801.99 / $4,369.07
| Facility | | $2,025.41 | $3,801.99 | $4,369.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,529.29 / $2,678.93 / $7,594.86
| Facility | | $2,529.29 | $2,678.93 | $7,594.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,761.59 / $16,586.25 / $31,745.76
| Facility | | $10,761.59 | $16,586.25 | $31,745.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $4,016.00 / $16,315.00
| Facility | | $2,912.00 | $4,016.00 | $16,315.00 |