- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,473.00 / $2,558.00 / $27,695.30
| Facility | | $1,473.00 | $2,558.00 | $27,695.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,847.00 / $10,620.30 / $18,506.49
| Facility | | $1,847.00 | $10,620.30 | $18,506.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,911.65 / $5,217.93 / $8,761.54
| Facility | | $1,911.65 | $5,217.93 | $8,761.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,433.49 / $29,342.37 / $43,040.20
| Facility | | $15,433.49 | $29,342.37 | $43,040.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,048.00 / $3,153.00 / $38,761.56
| Facility | | $2,048.00 | $3,153.00 | $38,761.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,850.00 / $22,120.79 / $38,761.56
| Facility | | $1,850.00 | $22,120.79 | $38,761.56 |