- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,384.14 / $7,920.26 / $28,696.08
| Facility | | $1,384.14 | $7,920.26 | $28,696.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,526.97 / $19,913.50 / $38,781.51
| Facility | | $6,526.97 | $19,913.50 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $8,315.84
| Facility | | $714.97 | $870.49 | $8,315.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $823.71 / $1,691.85 / $7,292.72
| Facility | | $823.71 | $1,691.85 | $7,292.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,076.04 / $1,467.97 / $1,515.72
| Facility | | $1,076.04 | $1,467.97 | $1,515.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,009.74 / $1,027.79 / $6,526.97
| Facility | | $1,009.74 | $1,027.79 | $6,526.97 |
- 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
- $2,155.00 / $3,129.00 / $11,941.00
| Facility | | $2,155.00 | $3,129.00 | $11,941.00 |