- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,782.00 / $6,461.00 / $10,138.60
| Facility | | $1,782.00 | $6,461.00 | $10,138.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,825.00 / $7,728.00 / $10,657.00
| Facility | | $4,825.00 | $7,728.00 | $10,657.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,367.98 / $7,476.04 / $17,461.78
| Facility | | $2,367.98 | $7,476.04 | $17,461.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,275.00 / $9,811.62 / $15,268.61
| Facility | | $6,275.00 | $9,811.62 | $15,268.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,739.00 / $5,500.00 / $6,921.00
| Facility | | $1,739.00 | $5,500.00 | $6,921.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.16 / $7,221.25 / $9,212.02
| Facility | | $102.16 | $7,221.25 | $9,212.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,647.64 / $7,539.13 / $11,280.24
| Facility | | $6,647.64 | $7,539.13 | $11,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,275.00 / $9,502.00 / $15,079.16
| Facility | | $6,275.00 | $9,502.00 | $15,079.16 |