- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $656.28 / $4,311.00 / $17,066.59
| Facility | | $656.28 | $4,311.00 | $17,066.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,954.50 / $10,639.60 / $16,394.00
| Facility | | $1,954.50 | $10,639.60 | $16,394.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $4,443.08
| Facility | | $625.25 | $761.81 | $4,443.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $452.41 / $938.61 / $4,064.10
| Facility | | $452.41 | $938.61 | $4,064.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $589.04 / $697.57 / $905.87
| Facility | | $589.04 | $697.57 | $905.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $481.99 / $1,107.43 / $2,328.38
| Facility | | $481.99 | $1,107.43 | $2,328.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,037.75 / $10,846.90 / $20,760.75
| Facility | | $7,037.75 | $10,846.90 | $20,760.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,100.00 / $2,038.00 / $10,522.00
| Facility | | $1,100.00 | $2,038.00 | $10,522.00 |