- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,131.83 / $7,863.94 / $18,711.00
| Facility | | $1,131.83 | $7,863.94 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,490.98 / $9,167.59 / $17,907.41
| Facility | | $5,490.98 | $9,167.59 | $17,907.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $883.20 / $1,075.31 / $3,740.43
| Facility | | $883.20 | $1,075.31 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $697.74 / $1,410.97 / $3,280.24
| Facility | | $697.74 | $1,410.97 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $928.55 / $1,262.95 / $1,329.95
| Facility | | $928.55 | $1,262.95 | $1,329.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $880.18 / $907.15 / $2,961.46
| Facility | | $880.18 | $907.15 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,145.87 / $9,167.59 / $17,546.59
| Facility | | $6,145.87 | $9,167.59 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $3,297.00 / $11,941.00
| Facility | | $2,155.00 | $3,297.00 | $11,941.00 |