- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,077.00 / $3,682.00 / $12,281.00
| Facility | | $1,077.00 | $3,682.00 | $12,281.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,759.02 / $3,214.76 / $6,854.11
| Facility | | $1,759.02 | $3,214.76 | $6,854.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $920.85 / $920.85 / $961.75
| Facility | | $920.85 | $920.85 | $961.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,494.86 / $1,494.86 / $1,543.72
| Facility | | $1,494.86 | $1,494.86 | $1,543.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,475.82 / $26,542.00 / $26,542.00
| Facility | | $7,475.82 | $26,542.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.45 / $1,296.38 / $1,908.58
| Facility | | $1,031.45 | $1,296.38 | $1,908.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,038.31 / $1,317.22 / $2,068.32
| Facility | | $1,038.31 | $1,317.22 | $2,068.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,273.00 / $4,063.00 / $8,226.00
| Facility | | $1,273.00 | $4,063.00 | $8,226.00 |