- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,700.80 / $5,130.52 / $11,396.00
| Facility | | $1,700.80 | $5,130.52 | $11,396.00 |
- 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
- $1,977.08 / $1,977.08 / $37,499.62
| Facility | | $1,977.08 | $1,977.08 | $37,499.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,626.32 / $1,626.32 / $7,227.90
| Facility | | $1,626.32 | $1,626.32 | $7,227.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $319.00 / $2,417.03 / $4,475.20
| Facility | | $319.00 | $2,417.03 | $4,475.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $597.00 / $1,626.32 / $74,999.25
| Facility | | $597.00 | $1,626.32 | $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
- $1,629.67 / $1,629.67 / $6,079.14
| Facility | | $1,629.67 | $1,629.67 | $6,079.14 |