- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,211.77 / $7,920.26 / $48,571.45
| Facility | | $1,211.77 | $7,920.26 | $48,571.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,897.00 / $27,770.10 / $55,801.25
| Facility | | $5,897.00 | $27,770.10 | $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
- $1,405.48 / $2,396.44 / $12,028.17
| Facility | | $1,405.48 | $2,396.44 | $12,028.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,656.99 / $2,001.29 / $2,252.54
| Facility | | $1,656.99 | $2,001.29 | $2,252.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,395.24 / $1,396.59 / $4,000.25
| Facility | | $1,395.24 | $1,396.59 | $4,000.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,916.23 / $29,070.27 / $55,801.25
| Facility | | $18,916.23 | $29,070.27 | $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 |