- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,759.18 / $15,512.40 / $27,057.00
| Facility | | $7,759.18 | $15,512.40 | $27,057.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,289.79 / $15,157.05 / $25,572.00
| Facility | | $8,289.79 | $15,157.05 | $25,572.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $8,866.46 / $19,856.00
| Facility | | $100.00 | $8,866.46 | $19,856.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,507.75 / $14,849.02 / $26,235.00
| Facility | | $8,507.75 | $14,849.02 | $26,235.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,890.14 / $18,890.14 / $18,890.14
| Facility | | $18,890.14 | $18,890.14 | $18,890.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,506.84 / $11,734.06 / $25,609.00
| Facility | | $7,506.84 | $11,734.06 | $25,609.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,808.00 / $15,808.00 / $15,808.00
| Facility | | $15,808.00 | $15,808.00 | $15,808.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,507.75 / $10,246.00 / $19,030.71
| Facility | | $5,507.75 | $10,246.00 | $19,030.71 |