- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,445.69 / $10,122.46 / $27,982.24
| Facility | | $2,445.69 | $10,122.46 | $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
- $1,701.00 / $2,945.43 / $11,234.92
| Facility | | $1,701.00 | $2,945.43 | $11,234.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,951.67 / $2,551.36 / $2,728.84
| Facility | | $1,951.67 | $2,551.36 | $2,728.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,817.89 / $1,843.54 / $2,513.62
| Facility | | $1,817.89 | $1,843.54 | $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 |