- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,481.65 / $6,470.00 / $22,024.00
| Facility | | $1,481.65 | $6,470.00 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,045.98 / $14,482.75 / $28,332.57
| Facility | | $1,045.98 | $14,482.75 | $28,332.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.00 / $1,031.00 / $10,075.20
| Facility | | $1,031.00 | $1,031.00 | $10,075.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,301.09 / $2,351.23 / $8,835.62
| Facility | | $1,301.09 | $2,351.23 | $8,835.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,180.53 / $1,444.52 / $2,131.27
| Facility | | $1,180.53 | $1,444.52 | $2,131.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $985.29 / $1,045.98 / $1,876.24
| Facility | | $985.29 | $1,045.98 | $1,876.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,567.02 / $14,482.75 / $28,332.57
| Facility | | $9,567.02 | $14,482.75 | $28,332.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,263.00 / $2,912.00 / $16,315.00
| Facility | | $2,263.00 | $2,912.00 | $16,315.00 |