- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,294.93 / $2,769.52 / $18,711.00
| Facility | | $1,294.93 | $2,769.52 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,954.50 / $10,639.60 / $14,338.22
| Facility | | $1,954.50 | $10,639.60 | $14,338.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $568.48 / $4,443.08
| Facility | | $466.83 | $568.48 | $4,443.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $783.00 / $1,497.74 / $4,064.10
| Facility | | $783.00 | $1,497.74 | $4,064.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,004.99 / $1,365.51 / $1,429.78
| Facility | | $1,004.99 | $1,365.51 | $1,429.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $960.81 / $1,107.43 / $2,328.38
| Facility | | $960.81 | $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 |