- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,054.00 / $4,262.00 / $10,247.00
| Facility | | $1,054.00 | $4,262.00 | $10,247.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $46,296.00
| Facility | | $13,531.00 | $27,840.00 | $46,296.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $708.76 / $708.76 / $708.76
| Facility | | $708.76 | $708.76 | $708.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,126.39 / $7,606.60 / $75,989.56
| Facility | | $6,126.39 | $7,606.60 | $75,989.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,151.00 / $5,350.00 / $10,247.00
| Facility | | $1,151.00 | $5,350.00 | $10,247.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $708.76 / $708.76 / $708.76
| Facility | | $708.76 | $708.76 | $708.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.67 / $606.67 / $855.28
| Facility | | $606.67 | $606.67 | $855.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,468.00 / $4,563.00 / $9,631.00
| Facility | | $2,468.00 | $4,563.00 | $9,631.00 |