- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,195.71 / $3,463.48 / $18,711.00
| Facility | | $1,195.71 | $3,463.48 | $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
- $658.15 / $1,348.84 / $3,280.24
| Facility | | $658.15 | $1,348.84 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $855.05 / $1,169.82 / $1,342.01
| Facility | | $855.05 | $1,169.82 | $1,342.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $911.89 / $915.37 / $2,961.46
| Facility | | $911.89 | $915.37 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,948.17 / $9,167.59 / $17,546.59
| Facility | | $5,948.17 | $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 |