- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,303.00 / $5,324.00 / $11,996.00
| Facility | | $2,303.00 | $5,324.00 | $11,996.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,793.00 / $9,974.00 / $17,122.00
| Facility | | $4,793.00 | $9,974.00 | $17,122.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,403.16 / $3,403.16 / $37,499.62
| Facility | | $3,403.16 | $3,403.16 | $37,499.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,755.44 / $2,755.44 / $7,227.90
| Facility | | $2,755.44 | $2,755.44 | $7,227.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $319.00 / $3,840.00 / $6,703.36
| Facility | | $319.00 | $3,840.00 | $6,703.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $597.00 / $2,755.44 / $74,999.25
| Facility | | $597.00 | $2,755.44 | $74,999.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,749.00 / $4,194.00 / $9,300.00
| Facility | | $1,749.00 | $4,194.00 | $9,300.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,787.66 / $2,787.66 / $9,536.85
| Facility | | $2,787.66 | $2,787.66 | $9,536.85 |