- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $7,413.10 / $15,135.61
| Facility | | $1,479.11 | $7,413.10 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $10,000.00 / $57,543.99
| Facility | | $9,549.93 | $10,000.00 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $16,982.44 / $43,651.58
| Facility | | $6,309.57 | $16,982.44 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $6,918.31 / $14,125.38
| Facility | | $1,230.27 | $6,918.31 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $1,174.90 / $1,819.70
| Facility | | $1,174.90 | $1,174.90 | $1,819.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $141.25 / $933.25
| Facility | | $141.25 | $141.25 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $5,011.87 / $18,620.87
| Facility | | $2,344.23 | $5,011.87 | $18,620.87 |