- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,223.78 / $7,682.00 / $27,982.24
| Facility | | $1,223.78 | $7,682.00 | $27,982.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,523.91 / $19,913.50 / $38,781.51
| Facility | | $8,523.91 | $19,913.50 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $8,315.84
| Facility | | $714.97 | $870.49 | $8,315.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $721.16 / $1,433.40 / $7,292.72
| Facility | | $721.16 | $1,433.40 | $7,292.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $927.15 / $1,254.91 / $1,342.01
| Facility | | $927.15 | $1,254.91 | $1,342.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $884.71 / $915.37 / $8,523.91
| Facility | | $884.71 | $915.37 | $8,523.91 |
- 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 |