- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,219.14 / $13,894.50 / $34,327.00
| Facility | | $7,219.14 | $13,894.50 | $34,327.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,661.98 / $9,369.20 / $19,734.89
| Facility | | $7,661.98 | $9,369.20 | $19,734.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $7,422.15 / $14,816.02
| Facility | | $100.00 | $7,422.15 | $14,816.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,159.62 / $11,825.28 / $21,291.94
| Facility | | $7,159.62 | $11,825.28 | $21,291.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,537.00 / $48,537.00 / $48,537.00
| Facility | | $48,537.00 | $48,537.00 | $48,537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,976.43 / $10,132.19 / $21,291.94
| Facility | | $6,976.43 | $10,132.19 | $21,291.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,390.10 / $10,418.00 / $21,495.00
| Facility | | $5,390.10 | $10,418.00 | $21,495.00 |