- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,733.00 / $5,128.00 / $21,917.86
| Facility | | $1,733.00 | $5,128.00 | $21,917.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $52,812.50 / $101,024.36
| Facility | | $11,500.00 | $52,812.50 | $101,024.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $883.20 / $1,075.31 / $33,384.17
| Facility | | $883.20 | $1,075.31 | $33,384.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,358.71 / $2,739.41 / $26,485.85
| Facility | | $1,358.71 | $2,739.41 | $26,485.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,840.75 / $2,391.55 / $2,460.23
| Facility | | $1,840.75 | $2,391.55 | $2,460.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,638.05 / $1,678.10 / $26,926.57
| Facility | | $1,638.05 | $1,678.10 | $26,926.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,536.44 / $52,812.50 / $101,024.36
| Facility | | $38,536.44 | $52,812.50 | $101,024.36 |
- 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 |