- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $15,440.20 / $16,319.50
| Facility | | $3,822.00 | $15,440.20 | $16,319.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,400.00 / $9,046.00 / $30,111.02
| Facility | | $3,400.00 | $9,046.00 | $30,111.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,818.04 / $14,580.83 / $22,031.81
| Facility | | $8,818.04 | $14,580.83 | $22,031.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,438.00 / $8,148.00 / $20,706.28
| Facility | | $4,438.00 | $8,148.00 | $20,706.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,705.08 / $14,688.87 / $22,683.07
| Facility | | $12,705.08 | $14,688.87 | $22,683.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,400.00 / $9,046.00 / $30,111.02
| Facility | | $3,400.00 | $9,046.00 | $30,111.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,200.00 / $7,963.00 / $16,767.70
| Facility | | $2,200.00 | $7,963.00 | $16,767.70 |