- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $938.41 / $4,011.00 / $20,680.40
| Facility | | $938.41 | $4,011.00 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,400.95 / $19,056.41 / $38,781.51
| Facility | | $6,400.95 | $19,056.41 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $8,315.84
| Facility | | $625.25 | $761.81 | $8,315.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $540.27 / $1,094.73 / $7,292.72
| Facility | | $540.27 | $1,094.73 | $7,292.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $711.97 / $979.54 / $1,027.10
| Facility | | $711.97 | $979.54 | $1,027.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $679.05 / $700.58 / $6,526.97
| Facility | | $679.05 | $700.58 | $6,526.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,546.63 / $20,262.22 / $38,781.51
| Facility | | $12,546.63 | $20,262.22 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $3,129.00 / $11,941.00
| Facility | | $2,155.00 | $3,129.00 | $11,941.00 |