- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,259.36 / $4,500.00 / $20,680.40
| Facility | | $1,259.36 | $4,500.00 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,790.56 / $7,929.30 / $26,542.00
| Facility | | $1,790.56 | $7,929.30 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $918.00 / $3,311.26
| Facility | | $714.97 | $918.00 | $3,311.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,014.75 / $1,958.33 / $3,284.19
| Facility | | $1,014.75 | $1,958.33 | $3,284.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,305.35 / $1,768.48 / $1,840.08
| Facility | | $1,305.35 | $1,768.48 | $1,840.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.34 / $1,250.81 / $1,915.04
| Facility | | $1,230.34 | $1,250.81 | $1,915.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,806.07 / $7,956.97 / $15,220.78
| Facility | | $5,806.07 | $7,956.97 | $15,220.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,448.97 / $2,486.66 / $7,198.00
| Facility | | $1,448.97 | $2,486.66 | $7,198.00 |