- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $8,912.51 / $18,197.01
| Facility | | $1,548.82 | $8,912.51 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $4,365.16 / $16,982.44
| Facility | | $2,238.72 | $4,365.16 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $954.99 / $1,096.48
| Facility | | $912.01 | $954.99 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $1,148.15 / $21,379.62
| Facility | | $794.33 | $1,148.15 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $10,232.93 / $28,840.32
| Facility | | $83.18 | $10,232.93 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $7,244.36
| Facility | | $100.00 | $100.00 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,890.45 / $6,606.93 / $10,964.78
| Facility | | $3,890.45 | $6,606.93 | $10,964.78 |