- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $11,100.08 / $24,068.03
| Facility | | $5,463.36 | $11,100.08 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,779.16 / $24,699.74 / $47,777.27
| Facility | | $18,779.16 | $24,699.74 | $47,777.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,226.00 / $12,226.00 / $12,226.00
| Facility | | $12,226.00 | $12,226.00 | $12,226.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $653.54 / $1,245.40 / $12,540.00
| Facility | | $653.54 | $1,245.40 | $12,540.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,012.92 / $1,247.91 / $1,483.51
| Facility | | $1,012.92 | $1,247.91 | $1,483.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,777.00 / $9,496.00 / $11,232.94
| Facility | | $6,777.00 | $9,496.00 | $11,232.94 |