- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,533.32 / $7,872.60 / $19,638.86
| Facility | | $1,533.32 | $7,872.60 | $19,638.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,393.00 / $11,479.00 / $18,724.00
| Facility | | $6,393.00 | $11,479.00 | $18,724.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,200.44 / $1,200.44 / $1,200.44
| Facility | | $1,200.44 | $1,200.44 | $1,200.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,878.10 / $14,833.03 / $31,765.63
| Facility | | $5,878.10 | $14,833.03 | $31,765.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,227.07 / $6,526.30 / $15,806.54
| Facility | | $1,227.07 | $6,526.30 | $15,806.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,200.44 / $1,200.44 / $1,200.44
| Facility | | $1,200.44 | $1,200.44 | $1,200.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,003.78 / $1,034.88 / $1,034.88
| Facility | | $1,003.78 | $1,034.88 | $1,034.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,468.00 / $4,563.00 / $9,631.00
| Facility | | $2,468.00 | $4,563.00 | $9,631.00 |