- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,618.00 / $3,627.00 / $15,707.00
| Facility | | $2,618.00 | $3,627.00 | $15,707.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,036.00 / $6,029.00 / $34,324.12
| Facility | | $2,036.00 | $6,029.00 | $34,324.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,265.34 / $27,514.56 / $35,837.41
| Facility | | $23,265.34 | $27,514.56 | $35,837.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,698.99 / $14,868.13 / $20,251.00
| Facility | | $7,698.99 | $14,868.13 | $20,251.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $920.05 / $1,909.00 / $6,679.00
| Facility | | $920.05 | $1,909.00 | $6,679.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,102.05 / $3,636.29 / $5,792.16
| Facility | | $3,102.05 | $3,636.29 | $5,792.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,540.00 / $7,827.00 / $17,462.00
| Facility | | $2,540.00 | $7,827.00 | $17,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,540.00 / $7,157.00 / $14,101.00
| Facility | | $2,540.00 | $7,157.00 | $14,101.00 |