- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,663.12 / $4,388.00 / $29,451.07
| Facility | | $2,663.12 | $4,388.00 | $29,451.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,906.44 / $6,029.00 / $38,975.30
| Facility | | $1,906.44 | $6,029.00 | $38,975.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,112.91 / $34,671.83 / $44,844.87
| Facility | | $29,112.91 | $34,671.83 | $44,844.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,851.32 / $11,617.47 / $13,632.60
| Facility | | $4,851.32 | $11,617.47 | $13,632.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $789.14 / $1,677.46 / $8,208.00
| Facility | | $789.14 | $1,677.46 | $8,208.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,841.00 / $21,673.40 / $37,368.57
| Facility | | $5,841.00 | $21,673.40 | $37,368.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,540.00 / $7,292.00 / $15,841.00
| Facility | | $2,540.00 | $7,292.00 | $15,841.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,540.00 / $7,157.00 / $12,570.00
| Facility | | $2,540.00 | $7,157.00 | $12,570.00 |