- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,473.00 / $2,558.00 / $33,818.30
| Facility | | $1,473.00 | $2,558.00 | $33,818.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,778.37 / $26,778.37 / $26,778.37
| Facility | | $26,778.37 | $26,778.37 | $26,778.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,754.32 / $18,617.04 / $31,111.92
| Facility | | $6,754.32 | $18,617.04 | $31,111.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,029.00 / $27,400.65 / $52,555.76
| Facility | | $8,029.00 | $27,400.65 | $52,555.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,048.00 / $3,153.00 / $44,618.87
| Facility | | $2,048.00 | $3,153.00 | $44,618.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,850.00 / $27,011.37 / $44,618.87
| Facility | | $1,850.00 | $27,011.37 | $44,618.87 |