- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,544.00 / $7,799.00 / $22,914.54
| Facility | | $1,544.00 | $7,799.00 | $22,914.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $11,851.00 / $28,970.26
| Facility | | $8,639.91 | $11,851.00 | $28,970.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,137.27 / $14,279.43 / $26,515.87
| Facility | | $6,137.27 | $14,279.43 | $26,515.87 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $13,088.01 / $13,088.01 / $26,388.22
| Facility | 22 | $13,088.01 | $13,088.01 | $26,388.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,459.00 / $7,530.00 / $17,510.00
| Facility | | $1,459.00 | $7,530.00 | $17,510.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $950.52 / $950.52 / $1,162.89
| Facility | | $950.52 | $950.52 | $1,162.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $3,914.00 / $7,000.00
| Facility | | $2,332.00 | $3,914.00 | $7,000.00 |