- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $13,182.57 / $51,286.14
| Facility | | $1,000.00 | $13,182.57 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $70,794.58 / $134,896.29
| Facility | | $26,915.35 | $70,794.58 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $23,988.33 / $30,902.95
| Facility | | $23,988.33 | $23,988.33 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $537.03 / $870.96
| Facility | | $371.54 | $537.03 | $870.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $32,359.37 / $83,176.38
| Facility | | $1,819.70 | $32,359.37 | $83,176.38 |