- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,847.00 / $8,655.71 / $17,101.09
| Facility | | $1,847.00 | $8,655.71 | $17,101.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,283.53 / $8,059.02 / $19,405.00
| Facility | | $4,283.53 | $8,059.02 | $19,405.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,339.26 / $3,142.79 / $10,256.42
| Facility | | $1,339.26 | $3,142.79 | $10,256.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,470.00 / $14,473.71 / $17,512.00
| Facility | | $10,470.00 | $14,473.71 | $17,512.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,426.88 / $10,768.00 / $15,384.87
| Facility | | $3,426.88 | $10,768.00 | $15,384.87 |