- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,733.00 / $6,470.00 / $20,680.40
| Facility | | $1,733.00 | $6,470.00 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,318.45 / $20,262.22 / $38,781.51
| Facility | | $1,318.45 | $20,262.22 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $2,285.42 / $11,228.11
| Facility | | $714.97 | $2,285.42 | $11,228.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $994.41 / $2,020.90 / $9,846.68
| Facility | | $994.41 | $2,020.90 | $9,846.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,372.00 / $1,857.24 / $1,932.95
| Facility | | $1,372.00 | $1,857.24 | $1,932.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,289.24 / $1,318.45 / $8,811.82
| Facility | | $1,289.24 | $1,318.45 | $8,811.82 |
- 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
- $2,853.00 / $5,851.00 / $19,271.00
| Facility | | $2,853.00 | $5,851.00 | $19,271.00 |