- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,762.97 / $7,556.33 / $35,131.94
| Facility | | $1,762.97 | $7,556.33 | $35,131.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,886.41 / $27,156.71 / $55,801.25
| Facility | | $9,886.41 | $27,156.71 | $55,801.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,960.89 / $6,960.89 / $11,596.76
| Facility | | $6,960.89 | $6,960.89 | $11,596.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.02 / $3,122.84 / $12,028.17
| Facility | | $1,698.02 | $3,122.84 | $12,028.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,968.00 / $2,679.06 / $2,753.70
| Facility | | $1,968.00 | $2,679.06 | $2,753.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,830.57 / $1,878.27 / $2,429.53
| Facility | | $1,830.57 | $1,878.27 | $2,429.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,479.97 / $27,419.55 / $55,801.25
| Facility | | $12,479.97 | $27,419.55 | $55,801.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $4,686.00 / $20,708.00
| Facility | | $3,028.00 | $4,686.00 | $20,708.00 |