- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,363.44 / $9,095.84 / $33,100.94
| Facility | | $1,363.44 | $9,095.84 | $33,100.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $36,469.56 / $71,345.31
| Facility | | $11,500.00 | $36,469.56 | $71,345.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $20,111.91
| Facility | | $714.97 | $870.49 | $20,111.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $783.08 / $1,600.37 / $16,819.93
| Facility | | $783.08 | $1,600.37 | $16,819.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,027.04 / $1,411.69 / $1,496.78
| Facility | | $1,027.04 | $1,411.69 | $1,496.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $987.54 / $1,020.94 / $17,987.34
| Facility | | $987.54 | $1,020.94 | $17,987.34 |
- 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 |