- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,473.00 / $2,558.00 / $45,959.20
| Facility | | $1,473.00 | $2,558.00 | $45,959.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,126.00 / $10,418.67 / $36,167.37
| Facility | | $1,126.00 | $10,418.67 | $36,167.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,734.01 / $15,651.24 / $26,280.31
| Facility | | $5,734.01 | $15,651.24 | $26,280.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,029.00 / $37,237.64 / $71,423.57
| Facility | | $8,029.00 | $37,237.64 | $71,423.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,048.00 / $3,153.00 / $64,323.34
| Facility | | $2,048.00 | $3,153.00 | $64,323.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,850.00 / $36,708.61 / $64,323.34
| Facility | | $1,850.00 | $36,708.61 | $64,323.34 |