- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,261.75 / $7,682.00 / $33,327.62
| Facility | | $1,261.75 | $7,682.00 | $33,327.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,317.10 / $20,273.81 / $38,781.51
| Facility | | $9,317.10 | $20,273.81 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $11,220.93
| Facility | | $714.97 | $870.49 | $11,220.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $702.52 / $1,438.67 / $9,840.37
| Facility | | $702.52 | $1,438.67 | $9,840.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $944.72 / $1,295.78 / $1,381.54
| Facility | | $944.72 | $1,295.78 | $1,381.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $910.53 / $942.33 / $9,317.10
| Facility | | $910.53 | $942.33 | $9,317.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,669.79 / $20,262.22 / $38,781.51
| Facility | | $14,669.79 | $20,262.22 | $38,781.51 |
- 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 |