- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $7,943.28 / $22,387.21
| Facility | | $1,096.48 | $7,943.28 | $22,387.21 |
- 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
- $6,918.31 / $25,118.86 / $38,904.51
| Facility | | $6,918.31 | $25,118.86 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $7,413.10 / $20,892.96
| Facility | | $1,071.52 | $7,413.10 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $851.14 / $1,621.81
| Facility | | $851.14 | $851.14 | $1,621.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $190.55 / $1,096.48
| Facility | | $190.55 | $190.55 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $5,495.41 / $33,113.11
| Facility | | $2,454.71 | $5,495.41 | $33,113.11 |