- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $2,290.87 / $17,782.79
| Facility | | $933.25 | $2,290.87 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $562.34 / $2,630.27
| Facility | | $467.74 | $562.34 | $2,630.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $1,023.29 / $1,949.84
| Facility | | $575.44 | $1,023.29 | $1,949.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $1,445.44 / $1,548.82
| Facility | | $1,000.00 | $1,445.44 | $1,548.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $1,071.52 / $1,096.48
| Facility | | $1,071.52 | $1,071.52 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,890.45 / $5,495.41 / $10,471.29
| Facility | | $3,890.45 | $5,495.41 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $6,760.83 / $11,220.18
| Facility | | $1,995.26 | $6,760.83 | $11,220.18 |