- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,949.84 / $8,912.51 / $28,183.83
| Facility | | $1,949.84 | $8,912.51 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $1,230.27 / $26,302.68
| Facility | | $1,000.00 | $1,230.27 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $2,137.96 / $20,417.38
| Facility | | $1,071.52 | $2,137.96 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $1,995.26 / $2,089.30
| Facility | | $1,698.24 | $1,995.26 | $2,089.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $1,445.44 / $8,317.64
| Facility | | $1,380.38 | $1,445.44 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $37,153.52 / $70,794.58
| Facility | | $26,915.35 | $37,153.52 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $38,018.94 / $72,443.60
| Facility | | $4,265.80 | $38,018.94 | $72,443.60 |