- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,016.30 / $4,011.00 / $18,711.00
| Facility | | $1,016.30 | $4,011.00 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,555.68 / $19,056.41 / $38,781.51
| Facility | | $5,555.68 | $19,056.41 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $8,315.84
| Facility | | $625.25 | $761.81 | $8,315.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565.05 / $1,141.82 / $6,675.67
| Facility | | $565.05 | $1,141.82 | $6,675.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $735.98 / $1,015.72 / $1,210.69
| Facility | | $735.98 | $1,015.72 | $1,210.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $763.31 / $825.80 / $6,526.97
| Facility | | $763.31 | $825.80 | $6,526.97 |
- 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
- $2,408.00 / $24,764.99 / $40,868.01
| Facility | | $2,408.00 | $24,764.99 | $40,868.01 |