- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,176.69 / $6,470.00 / $20,680.40
| Facility | | $1,176.69 | $6,470.00 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,555.68 / $20,273.81 / $38,781.51
| Facility | | $5,555.68 | $20,273.81 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $10,834.20
| Facility | | $714.97 | $870.49 | $10,834.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $686.86 / $1,393.44 / $8,595.49
| Facility | | $686.86 | $1,393.44 | $8,595.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $902.58 / $1,261.27 / $1,378.19
| Facility | | $902.58 | $1,261.27 | $1,378.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $918.68 / $940.05 / $9,409.89
| Facility | | $918.68 | $940.05 | $9,409.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,146.66 / $20,262.22 / $38,781.51
| Facility | | $13,146.66 | $20,262.22 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,408.00 / $24,764.99 / $40,868.01
| Facility | | $2,408.00 | $24,764.99 | $40,868.01 |