- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $352.18 / $2,303.08 / $19,798.41
| Facility | | $352.18 | $2,303.08 | $19,798.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.21 / $18,231.29 / $37,102.31
| Facility | | $1,071.21 | $18,231.29 | $37,102.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,448.94 / $3,448.94 / $5,745.89
| Facility | | $3,448.94 | $3,448.94 | $5,745.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $312.27 / $921.02 / $5,038.96
| Facility | | $312.27 | $921.02 | $5,038.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $423.85 / $1,399.83 / $1,666.68
| Facility | | $423.85 | $1,399.83 | $1,666.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.21 / $1,110.30 / $2,096.73
| Facility | | $1,071.21 | $1,110.30 | $2,096.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,577.42 / $19,384.89 / $37,102.31
| Facility | | $12,577.42 | $19,384.89 | $37,102.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $3,297.00 / $12,835.00
| Facility | | $2,155.00 | $3,297.00 | $12,835.00 |