- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $249.87 / $3,839.00 / $8,113.00
| Facility | | $249.87 | $3,839.00 | $8,113.00 |
- 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
- $1,409.20 / $2,894.30 / $5,000.46
| Facility | | $1,409.20 | $2,894.30 | $5,000.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $742.11 / $4,761.00 / $8,247.00
| Facility | | $742.11 | $4,761.00 | $8,247.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.39 / $309.39 / $309.39
| Facility | | $309.39 | $309.39 | $309.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $265.72 / $265.72 / $309.00
| Facility | | $265.72 | $265.72 | $309.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $3,475.00 / $6,368.00
| Facility | | $2,155.00 | $3,475.00 | $6,368.00 |