- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,337.00 / $1,337.00 / $10,995.00
| Facility | | $1,337.00 | $1,337.00 | $10,995.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,346.00 / $8,503.36 / $15,897.07
| Facility | | $1,346.00 | $8,503.36 | $15,897.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,260.14 / $1,702.64 / $8,237.93
| Facility | | $1,260.14 | $1,702.64 | $8,237.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,788.31 / $10,891.86 / $17,828.41
| Facility | | $6,788.31 | $10,891.86 | $17,828.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,834.95 / $5,834.95 / $5,834.95
| Facility | | $5,834.95 | $5,834.95 | $5,834.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.04 / $6,314.02 / $9,006.87
| Facility | | $100.04 | $6,314.02 | $9,006.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,724.77 / $10,760.70 / $12,646.52
| Facility | | $7,724.77 | $10,760.70 | $12,646.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,971.60 / $11,477.86 / $14,468.77
| Facility | | $6,971.60 | $11,477.86 | $14,468.77 |