- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $9,216.00 / $15,043.80
| Facility | | $4,804.00 | $9,216.00 | $15,043.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,515.85 / $10,535.24 / $28,504.51
| Facility | | $9,515.85 | $10,535.24 | $28,504.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,690.00 / $9,305.93
| Facility | | $688.00 | $2,690.00 | $9,305.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,697.67 / $9,357.00 / $17,150.08
| Facility | | $5,697.67 | $9,357.00 | $17,150.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,160.00 / $19,904.00 / $19,904.00
| Facility | | $12,160.00 | $19,904.00 | $19,904.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,859.59 / $8,295.00 / $19,132.25
| Facility | | $5,859.59 | $8,295.00 | $19,132.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,000.00 / $7,300.26 / $16,923.13
| Facility | | $3,000.00 | $7,300.26 | $16,923.13 |