- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,173.46 / $5,128.00 / $22,024.00
| Facility | | $1,173.46 | $5,128.00 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,214.12 / $20,273.81 / $38,781.51
| Facility | | $9,214.12 | $20,273.81 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $11,499.31
| Facility | | $714.97 | $870.49 | $11,499.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $743.19 / $1,479.32 / $10,084.52
| Facility | | $743.19 | $1,479.32 | $10,084.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $964.44 / $1,293.77 / $1,377.52
| Facility | | $964.44 | $1,293.77 | $1,377.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $909.62 / $939.59 / $9,214.12
| Facility | | $909.62 | $939.59 | $9,214.12 |
- 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 |