- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,039.93 / $5,116.62 / $23,000.00
| Facility | | $2,039.93 | $5,116.62 | $23,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,304.19 / $35,815.01 / $70,064.83
| Facility | | $2,304.19 | $35,815.01 | $70,064.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $765.00 / $870.49 / $870.49
| Facility | | $765.00 | $870.49 | $870.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.93 / $3,144.43 / $4,486.18
| Facility | | $1,550.93 | $3,144.43 | $4,486.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,340.23 / $3,155.98 / $3,378.14
| Facility | | $2,340.23 | $3,155.98 | $3,378.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,212.91 / $2,212.91 / $2,304.19
| Facility | | $2,212.91 | $2,212.91 | $2,304.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,977.90 / $36,627.79 / $70,064.83
| Facility | | $27,977.90 | $36,627.79 | $70,064.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $5,547.00 / $19,271.00
| Facility | | $3,028.00 | $5,547.00 | $19,271.00 |