- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,110.56 / $7,920.26 / $27,982.24
| Facility | | $1,110.56 | $7,920.26 | $27,982.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $950.10 / $26,091.73 / $49,939.07
| Facility | | $950.10 | $26,091.73 | $49,939.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,795.54 / $6,795.54 / $11,321.29
| Facility | | $6,795.54 | $6,795.54 | $11,321.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,066.08 / $1,958.77 / $11,682.66
| Facility | | $1,066.08 | $1,958.77 | $11,682.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,143.45 / $1,431.84 / $1,753.04
| Facility | | $1,143.45 | $1,431.84 | $1,753.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $950.10 / $1,148.81 / $4,273.27
| Facility | | $950.10 | $1,148.81 | $4,273.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,928.99 / $26,091.73 / $49,939.07
| Facility | | $16,928.99 | $26,091.73 | $49,939.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $3,509.00 / $17,644.00
| Facility | | $2,912.00 | $3,509.00 | $17,644.00 |