- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,007.47 / $8,031.00 / $32,267.43
| Facility | | $3,007.47 | $8,031.00 | $32,267.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,192.00 / $31,328.00 / $44,754.00
| Facility | | $10,192.00 | $31,328.00 | $44,754.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $843.00 / $38,459.40 / $38,459.40
| Facility | | $843.00 | $38,459.40 | $38,459.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,972.41 / $24,723.00 / $25,227.00
| Facility | | $22,972.41 | $24,723.00 | $25,227.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,943.00 / $10,797.00 / $47,188.00
| Facility | | $6,943.00 | $10,797.00 | $47,188.00 |