- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,652.97 / $6,470.00 / $22,024.00
| Facility | | $1,652.97 | $6,470.00 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,534.08 / $20,273.81 / $38,781.51
| Facility | | $8,534.08 | $20,273.81 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,005.16 / $1,223.70 / $10,952.59
| Facility | | $1,005.16 | $1,223.70 | $10,952.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $946.12 / $1,917.45 / $9,605.06
| Facility | | $946.12 | $1,917.45 | $9,605.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,248.03 / $1,709.84 / $1,810.34
| Facility | | $1,248.03 | $1,709.84 | $1,810.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,190.94 / $1,234.81 / $8,534.08
| Facility | | $1,190.94 | $1,234.81 | $8,534.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,146.66 / $20,262.22 / $38,781.51
| Facility | | $13,146.66 | $20,262.22 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $4,016.00 / $16,315.00
| Facility | | $2,912.00 | $4,016.00 | $16,315.00 |