- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,197.99 / $2,106.75 / $14,464.32
| Facility | | $1,197.99 | $2,106.75 | $14,464.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,701.16 / $4,554.63 / $11,784.20
| Facility | | $2,701.16 | $4,554.63 | $11,784.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $568.48 / $1,985.59
| Facility | | $466.83 | $568.48 | $1,985.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $864.00 / $1,528.97 / $2,414.64
| Facility | | $864.00 | $1,528.97 | $2,414.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,172.63 / $1,658.17 / $1,928.52
| Facility | | $1,172.63 | $1,658.17 | $1,928.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.44 / $1,196.43 / $1,613.81
| Facility | | $537.44 | $1,196.43 | $1,613.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,434.81 / $4,589.03 / $8,891.67
| Facility | | $3,434.81 | $4,589.03 | $8,891.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $4,016.00 / $16,315.00
| Facility | | $2,912.00 | $4,016.00 | $16,315.00 |