- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $896.32 / $12,228.56 / $22,196.19
| Facility | | $896.32 | $12,228.56 | $22,196.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,490.98 / $9,167.59 / $17,907.41
| Facility | | $5,490.98 | $9,167.59 | $17,907.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,394.89 / $1,698.13 / $3,740.43
| Facility | | $1,394.89 | $1,698.13 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.37 / $1,008.34 / $3,280.24
| Facility | | $489.37 | $1,008.34 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $649.71 / $898.47 / $980.21
| Facility | | $649.71 | $898.47 | $980.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $642.80 / $668.59 / $2,961.46
| Facility | | $642.80 | $668.59 | $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
- $1,547.00 / $2,408.00 / $10,522.00
| Facility | | $1,547.00 | $2,408.00 | $10,522.00 |