- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,733.00 / $5,128.00 / $20,680.40
| Facility | | $1,733.00 | $5,128.00 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,425.59 / $7,547.82 / $15,403.47
| Facility | | $1,425.59 | $7,547.82 | $15,403.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $2,846.84
| Facility | | $714.97 | $870.49 | $2,846.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,136.96 / $2,149.79 / $2,962.69
| Facility | | $1,136.96 | $2,149.79 | $2,962.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,519.00 / $2,068.96 / $2,141.98
| Facility | | $1,519.00 | $2,068.96 | $2,141.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $738.78 / $1,425.59 / $2,218.36
| Facility | | $738.78 | $1,425.59 | $2,218.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,221.67 / $8,047.87 / $15,403.47
| Facility | | $5,221.67 | $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 |