- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,939.00 / $14,794.80 / $24,739.70
| Facility | | $6,939.00 | $14,794.80 | $24,739.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,798.00 / $5,953.00 / $29,000.34
| Facility | | $1,798.00 | $5,953.00 | $29,000.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,646.00 / $19,853.91 / $31,744.31
| Facility | | $14,646.00 | $19,853.91 | $31,744.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,130.97 / $21,388.43 / $44,852.22
| Facility | | $11,130.97 | $21,388.43 | $44,852.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,998.56 / $9,044.60 / $9,517.91
| Facility | | $7,998.56 | $9,044.60 | $9,517.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,702.33 / $21,247.19 / $31,752.14
| Facility | | $15,702.33 | $21,247.19 | $31,752.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,870.00 / $16,763.00 / $27,308.81
| Facility | | $4,870.00 | $16,763.00 | $27,308.81 |