- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $938.21 / $5,812.50 / $22,805.19
| Facility | | $938.21 | $5,812.50 | $22,805.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,007.69 / $20,262.22 / $38,781.51
| Facility | | $1,007.69 | $20,262.22 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $2,285.42 / $11,182.20
| Facility | | $714.97 | $2,285.42 | $11,182.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $747.33 / $1,522.21 / $9,806.42
| Facility | | $747.33 | $1,522.21 | $9,806.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,029.00 / $1,395.61 / $1,477.35
| Facility | | $1,029.00 | $1,395.61 | $1,477.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $982.10 / $1,007.69 / $8,497.21
| Facility | | $982.10 | $1,007.69 | $8,497.21 |
- 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
- $3,028.00 / $5,547.00 / $19,271.00
| Facility | | $3,028.00 | $5,547.00 | $19,271.00 |