- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $878.43 / $11,179.74 / $27,990.05
| Facility | | $878.43 | $11,179.74 | $27,990.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,954.95 / $21,054.96 / $27,396.88
| Facility | | $10,954.95 | $21,054.96 | $27,396.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $10,886.60
| Facility | | $714.97 | $870.49 | $10,886.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $704.03 / $1,425.75 / $9,547.18
| Facility | | $704.03 | $1,425.75 | $9,547.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $919.73 / $1,250.22 / $1,314.54
| Facility | | $919.73 | $1,250.22 | $1,314.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.21 / $896.63 / $8,718.41
| Facility | | $870.21 | $896.63 | $8,718.41 |
- 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 |