- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $11,368.00 / $18,052.09
| Facility | | $4,804.00 | $11,368.00 | $18,052.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,243.00 / $11,396.45 / $19,967.02
| Facility | | $1,243.00 | $11,396.45 | $19,967.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,759.00 / $11,380.13
| Facility | | $688.00 | $2,759.00 | $11,380.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,837.03 / $11,163.00 / $19,252.93
| Facility | | $6,837.03 | $11,163.00 | $19,252.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,996.70 / $24,547.23 / $24,547.23
| Facility | | $14,996.70 | $24,547.23 | $24,547.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,047.47 / $31,047.47 / $31,047.47
| Facility | | $31,047.47 | $31,047.47 | $31,047.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,004.00 / $9,953.75 / $19,252.93
| Facility | | $7,004.00 | $9,953.75 | $19,252.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $8,918.56 / $20,390.06
| Facility | | $3,775.00 | $8,918.56 | $20,390.06 |