- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,575.22 / $11,611.47 / $24,068.03
| Facility | | $4,575.22 | $11,611.47 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,102.00 / $4,047.33 / $7,892.00
| Facility | | $3,102.00 | $4,047.33 | $7,892.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,821.47 / $1,821.47 / $1,821.47
| Facility | | $1,821.47 | $1,821.47 | $1,821.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $738.98 / $1,537.92 / $6,887.55
| Facility | | $738.98 | $1,537.92 | $6,887.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,281.29 / $1,932.00 / $2,396.42
| Facility | | $1,281.29 | $1,932.00 | $2,396.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |