- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $946.40 / $946.40 / $42,186.65
| Facility | | $946.40 | $946.40 | $42,186.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,588.71 / $56,092.95 / $116,916.66
| Facility | | $10,588.71 | $56,092.95 | $116,916.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,078.71 / $2,947.87 / $7,091.49
| Facility | | $2,078.71 | $2,947.87 | $7,091.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,689.84 / $2,695.06 / $5,583.85
| Facility | | $1,689.84 | $2,695.06 | $5,583.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,261.00 / $9,833.25 / $45,628.00
| Facility | | $1,261.00 | $9,833.25 | $45,628.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,973.21 / $26,329.00 / $55,801.00
| Facility | | $10,973.21 | $26,329.00 | $55,801.00 |