- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,213.98 / $5,324.00 / $11,996.00
| Facility | | $2,213.98 | $5,324.00 | $11,996.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,793.00 / $9,974.00 / $17,122.00
| Facility | | $4,793.00 | $9,974.00 | $17,122.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,043.19 / $3,043.19 / $37,499.62
| Facility | | $3,043.19 | $3,043.19 | $37,499.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.41 / $2,511.41 / $7,227.90
| Facility | | $2,511.41 | $2,511.41 | $7,227.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.00 / $3,691.27 / $7,900.74
| Facility | | $332.00 | $3,691.27 | $7,900.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $597.00 / $2,511.41 / $74,999.25
| Facility | | $597.00 | $2,511.41 | $74,999.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,749.00 / $4,194.00 / $9,300.00
| Facility | | $1,749.00 | $4,194.00 | $9,300.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,509.75 / $2,509.75 / $9,382.32
| Facility | | $2,509.75 | $2,509.75 | $9,382.32 |