- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,575.50 / $8,990.52 / $17,667.84
| Facility | | $2,575.50 | $8,990.52 | $17,667.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,097.00 / $7,826.00 / $36,529.00
| Facility | | $2,097.00 | $7,826.00 | $36,529.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,403.91 / $1,684.69 / $2,632.34
| Facility | | $1,403.91 | $1,684.69 | $2,632.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,351.70 / $22,600.45 / $41,822.79
| Facility | | $21,351.70 | $22,600.45 | $41,822.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,534.00 / $8,160.52 / $12,871.00
| Facility | | $4,534.00 | $8,160.52 | $12,871.00 |