- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,038.14 / $12,619.36 / $27,982.24
| Facility | | $2,038.14 | $12,619.36 | $27,982.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,866.94 / $16,595.73 / $31,745.76
| Facility | | $9,866.94 | $16,595.73 | $31,745.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,147.74 / $4,147.74 / $6,910.09
| Facility | | $4,147.74 | $4,147.74 | $6,910.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.54 / $2,363.02 / $11,234.92
| Facility | | $1,380.54 | $2,363.02 | $11,234.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,552.34 / $2,048.19 / $2,212.04
| Facility | | $1,552.34 | $2,048.19 | $2,212.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,476.33 / $1,490.28 / $2,513.62
| Facility | | $1,476.33 | $1,490.28 | $2,513.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,761.59 / $16,586.25 / $31,745.76
| Facility | | $10,761.59 | $16,586.25 | $31,745.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $3,509.00 / $17,644.00
| Facility | | $2,912.00 | $3,509.00 | $17,644.00 |