- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,250.00 / $24,967.10 / $47,428.80
| Facility | | $3,250.00 | $24,967.10 | $47,428.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,952.00 / $4,428.00 / $37,015.00
| Facility | | $2,952.00 | $4,428.00 | $37,015.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,372.00 / $19,624.54 / $36,030.18
| Facility | | $1,372.00 | $19,624.54 | $36,030.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,491.00 / $8,156.00 / $32,422.51
| Facility | | $2,491.00 | $8,156.00 | $32,422.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $884.00 / $20,458.16 / $42,038.07
| Facility | | $884.00 | $20,458.16 | $42,038.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $800.00 / $14,722.14 / $39,723.57
| Facility | | $800.00 | $14,722.14 | $39,723.57 |