- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $828.45 / $6,072.60 / $27,027.55
| Facility | | $828.45 | $6,072.60 | $27,027.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,713.85 / $19,823.93 / $38,781.51
| Facility | | $6,713.85 | $19,823.93 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $11,077.44
| Facility | | $625.25 | $761.81 | $11,077.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $515.78 / $1,046.16 / $8,788.45
| Facility | | $515.78 | $1,046.16 | $8,788.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $669.34 / $917.90 / $990.93
| Facility | | $669.34 | $917.90 | $990.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $644.62 / $675.90 / $8,539.79
| Facility | | $644.62 | $675.90 | $8,539.79 |
- 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 |