- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,035.63 / $1,839.54 / $22,671.14
| Facility | | $1,035.63 | $1,839.54 | $22,671.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,087.68 / $6,622.22 / $14,645.34
| Facility | | $1,087.68 | $6,622.22 | $14,645.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,431.00 / $1,431.00 / $2,430.19
| Facility | | $1,431.00 | $1,431.00 | $2,430.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $706.00 / $1,132.08 / $1,947.63
| Facility | | $706.00 | $1,132.08 | $1,947.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $924.59 / $1,295.39 / $1,411.68
| Facility | | $924.59 | $1,295.39 | $1,411.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $940.43 / $940.43 / $960.61
| Facility | | $940.43 | $940.43 | $960.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,832.13 / $6,618.43 / $12,667.56
| Facility | | $4,832.13 | $6,618.43 | $12,667.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,224.00 / $1,862.00 / $10,522.00
| Facility | | $1,224.00 | $1,862.00 | $10,522.00 |