- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,039.14 / $2,926.00 / $8,427.00
| Facility | | $1,039.14 | $2,926.00 | $8,427.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,431.95 / $7,827.00 / $19,139.18
| Facility | | $6,431.95 | $7,827.00 | $19,139.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $815.73 / $815.73 / $815.73
| Facility | | $815.73 | $815.73 | $815.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,769.11 / $5,149.93 / $26,596.76
| Facility | | $1,769.11 | $5,149.93 | $26,596.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,039.14 / $4,761.00 / $9,617.00
| Facility | | $1,039.14 | $4,761.00 | $9,617.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $815.73 / $815.73 / $815.73
| Facility | | $815.73 | $815.73 | $815.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.41 / $707.41 / $798.77
| Facility | | $707.41 | $707.41 | $798.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $4,476.00 / $10,443.12
| Facility | | $2,332.00 | $4,476.00 | $10,443.12 |