- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,472.06 / $10,180.24 / $22,024.00
| Facility | | $1,472.06 | $10,180.24 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,574.82 / $8,052.47 / $15,403.47
| Facility | | $1,574.82 | $8,052.47 | $15,403.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $765.00 / $870.49
| Facility | | $714.97 | $765.00 | $870.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,276.04 / $2,123.27 / $3,054.55
| Facility | | $1,276.04 | $2,123.27 | $3,054.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,512.45 / $2,193.41 / $2,326.28
| Facility | | $1,512.45 | $2,193.41 | $2,326.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,549.71 / $1,549.71 / $1,574.82
| Facility | | $1,549.71 | $1,549.71 | $1,574.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,875.76 / $8,047.87 / $15,403.47
| Facility | | $5,875.76 | $8,047.87 | $15,403.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,547.00 / $2,408.00 / $10,522.00
| Facility | | $1,547.00 | $2,408.00 | $10,522.00 |