- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,719.08 / $6,470.00 / $23,717.40
| Facility | | $1,719.08 | $6,470.00 | $23,717.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,954.95 / $36,469.56 / $71,345.31
| Facility | | $10,954.95 | $36,469.56 | $71,345.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $20,019.73
| Facility | | $714.97 | $870.49 | $20,019.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.01 / $1,970.62 / $15,882.96
| Facility | | $977.01 | $1,970.62 | $15,882.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,289.74 / $1,783.54 / $1,869.30
| Facility | | $1,289.74 | $1,783.54 | $1,869.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,248.02 / $1,275.03 / $20,503.88
| Facility | | $1,248.02 | $1,275.03 | $20,503.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,749.60 / $37,275.87 / $71,345.31
| Facility | | $24,749.60 | $37,275.87 | $71,345.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $5,547.00 / $19,271.00
| Facility | | $3,028.00 | $5,547.00 | $19,271.00 |