- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,029.78 / $5,128.00 / $18,711.00
| Facility | | $1,029.78 | $5,128.00 | $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
- $625.25 / $761.81 / $3,740.43
| Facility | | $625.25 | $761.81 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $534.61 / $1,136.80 / $3,280.24
| Facility | | $534.61 | $1,136.80 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $759.21 / $1,049.89 / $1,124.93
| Facility | | $759.21 | $1,049.89 | $1,124.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $737.94 / $767.30 / $2,961.46
| Facility | | $737.94 | $767.30 | $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 |