- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,114.90 / $13,147.68 / $23,856.49
| Facility | | $1,114.90 | $13,147.68 | $23,856.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,423.00 / $36,627.79 / $70,860.36
| Facility | | $7,423.00 | $36,627.79 | $70,860.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $765.00 / $870.49
| Facility | | $714.97 | $765.00 | $870.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,302.69 / $2,644.61 / $3,761.65
| Facility | | $1,302.69 | $2,644.61 | $3,761.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,963.50 / $2,643.15 / $2,759.06
| Facility | | $1,963.50 | $2,643.15 | $2,759.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,841.90 / $1,841.90 / $1,881.93
| Facility | | $1,841.90 | $1,841.90 | $1,881.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,977.90 / $36,627.79 / $70,064.83
| Facility | | $27,977.90 | $36,627.79 | $70,064.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $5,547.00 / $19,271.00
| Facility | | $3,028.00 | $5,547.00 | $19,271.00 |