- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,782.00 / $11,139.00 / $16,794.40
| Facility | | $1,782.00 | $11,139.00 | $16,794.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,691.00 / $13,502.00 / $19,726.00
| Facility | | $8,691.00 | $13,502.00 | $19,726.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,068.73 / $12,383.92 / $28,925.12
| Facility | | $4,068.73 | $12,383.92 | $28,925.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,301.00 / $15,194.00 / $25,292.17
| Facility | | $9,301.00 | $15,194.00 | $25,292.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,736.00 / $7,957.00 / $10,400.00
| Facility | | $5,736.00 | $7,957.00 | $10,400.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $170.21 / $12,031.26 / $15,390.00
| Facility | | $170.21 | $12,031.26 | $15,390.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,522.57 / $12,979.25 / $18,685.50
| Facility | | $11,522.57 | $12,979.25 | $18,685.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,301.00 / $15,090.00 / $24,978.35
| Facility | | $9,301.00 | $15,090.00 | $24,978.35 |