- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,853.97 / $4,233.59 / $22,024.00
| Facility | | $1,853.97 | $4,233.59 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,028.17 / $5,897.00 / $23,842.70
| Facility | | $2,028.17 | $5,897.00 | $23,842.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $765.00 / $870.49 / $870.49
| Facility | | $765.00 | $870.49 | $870.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,455.77 / $2,963.74 / $3,748.57
| Facility | | $1,455.77 | $2,963.74 | $3,748.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,128.56 / $2,860.75 / $2,990.88
| Facility | | $2,128.56 | $2,860.75 | $2,990.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,992.75 / $1,992.75 / $2,028.17
| Facility | | $1,992.75 | $1,992.75 | $2,028.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,979.69 / $9,979.69 / $18,894.75
| Facility | | $9,979.69 | $9,979.69 | $18,894.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $702.00 / $1,323.00 / $5,793.00
| Facility | | $702.00 | $1,323.00 | $5,793.00 |