- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,965.00 / $5,431.00 / $14,578.00
| Facility | | $1,965.00 | $5,431.00 | $14,578.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,750.44 / $6,438.40 / $10,530.81
| Facility | | $1,750.44 | $6,438.40 | $10,530.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,008.00 / $11,353.00 / $18,040.00
| Facility | | $8,008.00 | $11,353.00 | $18,040.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $294.04 / $480.96 / $9,437.00
| Facility | | $294.04 | $480.96 | $9,437.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,315.00 / $7,341.00 / $11,396.00
| Facility | | $5,315.00 | $7,341.00 | $11,396.00 |