- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.96 / $3,715.35 / $13,489.63
| Facility | | $870.96 | $3,715.35 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $37,153.52 / $74,131.02
| Facility | | $20,892.96 | $37,153.52 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.40 / $29,512.09 / $50,118.72
| Facility | | $2,570.40 | $29,512.09 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $20,417.38 / $20,417.38
| Facility | | $331.13 | $20,417.38 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $26,915.35 / $26,915.35
| Facility | | $26,915.35 | $26,915.35 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $27,542.29 / $107,151.93
| Facility | | $27,542.29 | $27,542.29 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $2,187.76 / $8,912.51
| Facility | | $436.52 | $2,187.76 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $489.78 / $912.01
| Facility | | $354.81 | $489.78 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $26,302.68 / $100,000.00
| Facility | | $10,471.29 | $26,302.68 | $100,000.00 |