- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,269.78 / $8,171.00 / $24,266.40
| Facility | | $1,269.78 | $8,171.00 | $24,266.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,308.60 / $9,124.02 / $23,606.56
| Facility | | $5,308.60 | $9,124.02 | $23,606.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,982.56 / $1,982.56 / $3,302.92
| Facility | | $1,982.56 | $1,982.56 | $3,302.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $813.99 / $1,352.56 / $6,447.65
| Facility | | $813.99 | $1,352.56 | $6,447.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $873.18 / $1,198.63 / $1,356.08
| Facility | | $873.18 | $1,198.63 | $1,356.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $915.06 / $924.97 / $1,140.42
| Facility | | $915.06 | $924.97 | $1,140.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,916.52 / $9,101.25 / $17,453.22
| Facility | | $5,916.52 | $9,101.25 | $17,453.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $2,431.00 / $11,261.00
| Facility | | $1,550.00 | $2,431.00 | $11,261.00 |