- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,847.00 / $19,598.50 / $38,720.69
| Facility | | $1,847.00 | $19,598.50 | $38,720.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,222.00 / $18,924.54 / $29,189.39
| Facility | | $5,222.00 | $18,924.54 | $29,189.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,339.26 / $3,142.79 / $21,536.40
| Facility | | $1,339.26 | $3,142.79 | $21,536.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,470.00 / $17,856.00 / $39,373.00
| Facility | | $10,470.00 | $17,856.00 | $39,373.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $22,806.95 / $34,834.80
| Facility | | $3,496.00 | $22,806.95 | $34,834.80 |