- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,382.00 / $9,608.62 / $22,582.00
| Facility | | $4,382.00 | $9,608.62 | $22,582.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,605.99 / $31,048.33 / $60,057.49
| Facility | | $23,605.99 | $31,048.33 | $60,057.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,186.20 / $1,923.23 / $10,893.42
| Facility | | $1,186.20 | $1,923.23 | $10,893.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,861.54 / $2,314.40 / $3,125.39
| Facility | | $1,861.54 | $2,314.40 | $3,125.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,054.00 / $4,317.00 / $13,909.00
| Facility | | $3,054.00 | $4,317.00 | $13,909.00 |