- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,118.18 / $2,769.52 / $18,711.00
| Facility | | $1,118.18 | $2,769.52 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,961.46 / $9,172.83 / $17,546.59
| Facility | | $2,961.46 | $9,172.83 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $568.48 / $3,740.43
| Facility | | $466.83 | $568.48 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.73 / $1,249.66 / $3,280.24
| Facility | | $600.73 | $1,249.66 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $788.77 / $1,122.25 / $1,315.21
| Facility | | $788.77 | $1,122.25 | $1,315.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $887.43 / $897.09 / $2,961.46
| Facility | | $887.43 | $897.09 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,646.13 / $9,167.59 / $17,546.59
| Facility | | $5,646.13 | $9,167.59 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $702.00 / $1,436.00 / $6,857.00
| Facility | | $702.00 | $1,436.00 | $6,857.00 |