- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.81 / $5,116.62 / $21,917.86
| Facility | | $1,096.81 | $5,116.62 | $21,917.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,308.60 / $9,124.02 / $23,606.56
| Facility | | $5,308.60 | $9,124.02 | $23,606.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,982.56 / $1,982.56 / $3,302.92
| Facility | | $1,982.56 | $1,982.56 | $3,302.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,029.42 / $1,764.68 / $8,266.54
| Facility | | $1,029.42 | $1,764.68 | $8,266.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,149.89 / $1,536.31 / $1,649.00
| Facility | | $1,149.89 | $1,536.31 | $1,649.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,098.53 / $1,119.65 / $1,140.42
| Facility | | $1,098.53 | $1,119.65 | $1,140.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,916.52 / $9,101.25 / $17,453.22
| Facility | | $5,916.52 | $9,101.25 | $17,453.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $2,431.00 / $11,261.00
| Facility | | $1,550.00 | $2,431.00 | $11,261.00 |