- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,723.70 / $18,078.59 / $24,812.50
| Facility | | $2,723.70 | $18,078.59 | $24,812.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,393.00 / $4,175.00 / $20,112.38
| Facility | | $1,393.00 | $4,175.00 | $20,112.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $12,779.23 / $24,852.52
| Facility | | $100.00 | $12,779.23 | $24,852.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,500.00 / $15,404.49 / $40,488.75
| Facility | | $6,500.00 | $15,404.49 | $40,488.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,494.45 / $25,402.90 / $29,812.46
| Facility | | $17,494.45 | $25,402.90 | $29,812.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,074.62 / $11,994.64 / $15,373.03
| Facility | | $11,074.62 | $11,994.64 | $15,373.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $12,812.91 / $29,315.87
| Facility | | $5,693.00 | $12,812.91 | $29,315.87 |