- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,328.32 / $7,062.97 / $20,486.25
| Facility | | $1,328.32 | $7,062.97 | $20,486.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $11,213.87 / $21,602.23
| Facility | | $55.00 | $11,213.87 | $21,602.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $870.49 / $6,775.01
| Facility | | $500.00 | $870.49 | $6,775.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,027.59 / $4,295.97 / $12,270.93
| Facility | | $1,027.59 | $4,295.97 | $12,270.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,492.75 / $6,860.30 / $9,189.71
| Facility | | $1,492.75 | $6,860.30 | $9,189.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,429.53 / $4,901.33 / $5,175.97
| Facility | | $2,429.53 | $4,901.33 | $5,175.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,777.66 / $16,351.48 / $31,278.54
| Facility | | $11,777.66 | $16,351.48 | $31,278.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,686.00 / $20,225.84 / $29,875.52
| Facility | | $4,686.00 | $20,225.84 | $29,875.52 |