- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,525.00 / $28,917.70 / $46,608.30
| Facility | | $2,525.00 | $28,917.70 | $46,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,815.46 / $32,815.46 / $36,698.78
| Facility | | $32,815.46 | $32,815.46 | $36,698.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,308.00 / $27,588.52 / $45,422.33
| Facility | | $2,308.00 | $27,588.52 | $45,422.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,267.00 / $20,711.68 / $44,088.05
| Facility | | $2,267.00 | $20,711.68 | $44,088.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,341.50 / $8,563.84 / $37,516.36
| Facility | | $2,341.50 | $8,563.84 | $37,516.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,850.00 / $20,769.22 / $51,533.62
| Facility | | $1,850.00 | $20,769.22 | $51,533.62 |