- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $9,914.00 / $15,515.30
| Facility | | $4,804.00 | $9,914.00 | $15,515.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,773.96 / $13,602.64 / $15,132.16
| Facility | | $4,773.96 | $13,602.64 | $15,132.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,753.00 / $10,374.42
| Facility | | $688.00 | $2,753.00 | $10,374.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,876.26 / $9,650.00 / $18,040.78
| Facility | | $5,876.26 | $9,650.00 | $18,040.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,077.70 / $21,406.13 / $21,406.13
| Facility | | $13,077.70 | $21,406.13 | $21,406.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,377.66 / $6,967.98 / $10,261.27
| Facility | | $4,377.66 | $6,967.98 | $10,261.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,043.25 / $8,555.00 / $19,731.93
| Facility | | $6,043.25 | $8,555.00 | $19,731.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,285.12 / $7,665.28 / $17,874.47
| Facility | | $3,285.12 | $7,665.28 | $17,874.47 |