- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,579.45 / $8,766.73 / $17,732.38
| Facility | | $1,579.45 | $8,766.73 | $17,732.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,202.00 / $5,480.00 / $25,522.00
| Facility | | $2,202.00 | $5,480.00 | $25,522.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $871.43 / $1,045.72 / $1,294.30
| Facility | | $871.43 | $1,045.72 | $1,294.30 |
- 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
- $3,860.39 / $11,258.97 / $18,303.50
| Facility | | $3,860.39 | $11,258.97 | $18,303.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,070.00 / $8,448.00 / $13,382.00
| Facility | | $4,070.00 | $8,448.00 | $13,382.00 |