- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,561.00 / $9,668.00 / $19,898.09
| Facility | | $1,561.00 | $9,668.00 | $19,898.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,014.43 / $5,945.00 / $10,905.07
| Facility | | $5,014.43 | $5,945.00 | $10,905.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,271.11 / $9,114.49 / $10,420.21
| Facility | | $7,271.11 | $9,114.49 | $10,420.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,063.77 / $10,733.51 / $13,959.40
| Facility | | $6,063.77 | $10,733.51 | $13,959.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,766.61 / $5,766.61 / $12,540.83
| Facility | | $5,766.61 | $5,766.61 | $12,540.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,300.00 / $5,687.00 / $12,098.92
| Facility | | $1,300.00 | $5,687.00 | $12,098.92 |