- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,073.00 / $4,474.00 / $19,206.03
| Facility | | $2,073.00 | $4,474.00 | $19,206.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.17 / $2,531.19 / $4,140.09
| Facility | | $688.17 | $2,531.19 | $4,140.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,846.17 / $24,846.17 / $24,846.17
| Facility | | $24,846.17 | $24,846.17 | $24,846.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $366.55 / $653.13 / $38,082.00
| Facility | | $366.55 | $653.13 | $38,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,110.00 / $24,438.00 / $139,004.00
| Facility | | $6,110.00 | $24,438.00 | $139,004.00 |