- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,409.00 / $3,971.00 / $10,532.96
| Facility | | $1,409.00 | $3,971.00 | $10,532.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,003.00 / $4,142.00 / $19,117.00
| Facility | | $2,003.00 | $4,142.00 | $19,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,135.28 / $1,238.48 / $1,803.41
| Facility | | $1,135.28 | $1,238.48 | $1,803.41 |
- 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
- $1,459.14 / $1,459.14 / $1,459.14
| Facility | | $1,459.14 | $1,459.14 | $1,459.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,206.00 / $6,231.00 / $10,075.00
| Facility | | $3,206.00 | $6,231.00 | $10,075.00 |