- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,755.57 / $5,132.00 / $22,024.00
| Facility | | $1,755.57 | $5,132.00 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $19,056.41 / $38,781.51
| Facility | | $5,000.00 | $19,056.41 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $2,000.00 / $2,285.42
| Facility | | $714.97 | $2,000.00 | $2,285.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,372.06 / $2,854.79 / $6,397.05
| Facility | | $1,372.06 | $2,854.79 | $6,397.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,975.31 / $2,742.31 / $2,997.58
| Facility | | $1,975.31 | $2,742.31 | $2,997.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,912.11 / $1,912.11 / $2,044.62
| Facility | | $1,912.11 | $1,912.11 | $2,044.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,486.02 / $20,660.30 / $38,781.51
| Facility | | $15,486.02 | $20,660.30 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $5,547.00 / $19,271.00
| Facility | | $3,028.00 | $5,547.00 | $19,271.00 |