- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $645.65 / $3,981.07 / $10,000.00
| Facility | | $645.65 | $3,981.07 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $4,786.30 / $10,232.93
| Facility | | $2,630.27 | $4,786.30 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $616.60 / $37,153.52
| Facility | | $616.60 | $616.60 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $758.58 / $50,118.72
| Facility | | $34.67 | $758.58 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $398.11 / $501.19 / $1,445.44
| Facility | | $398.11 | $501.19 | $1,445.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $50,118.72 / $75,857.76
| Facility | | $537.03 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $4,265.80 / $9,549.93
| Facility | | $2,137.96 | $4,265.80 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $478.63 / $616.60
| Facility | | $338.84 | $478.63 | $616.60 |