- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $833.73 / $1,930.64 / $22,024.00
| Facility | | $833.73 | $1,930.64 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $917.20 / $46,149.28 / $90,281.73
| Facility | | $917.20 | $46,149.28 | $90,281.73 |
- 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
- $658.85 / $1,358.73 / $1,855.27
| Facility | | $658.85 | $1,358.73 | $1,855.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $958.34 / $1,292.50 / $1,344.69
| Facility | | $958.34 | $1,292.50 | $1,344.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $901.92 / $901.92 / $917.20
| Facility | | $901.92 | $901.92 | $917.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,050.80 / $47,196.58 / $90,281.73
| Facility | | $36,050.80 | $47,196.58 | $90,281.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,700.00 / $7,614.00 / $24,236.00
| Facility | | $3,700.00 | $7,614.00 | $24,236.00 |