- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $708.17 / $4,761.00 / $10,527.00
| Facility | | $708.17 | $4,761.00 | $10,527.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $46,480.74
| Facility | | $13,531.00 | $27,840.00 | $46,480.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.40 / $2,894.30 / $10,000.92
| Facility | | $2,818.40 | $2,894.30 | $10,000.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $832.00 / $4,761.00 / $8,451.00
| Facility | | $832.00 | $4,761.00 | $8,451.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $878.86 / $878.86 / $878.86
| Facility | | $878.86 | $878.86 | $878.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $753.01 / $753.01 / $822.86
| Facility | | $753.01 | $753.01 | $822.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $656.00 / $2,446.00 / $6,322.00
| Facility | | $656.00 | $2,446.00 | $6,322.00 |