- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $5,128.61 / $17,378.01
| Facility | | $1,230.27 | $5,128.61 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $45,708.82 / $93,325.43
| Facility | | $26,915.35 | $45,708.82 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $38,018.94 / $38,018.94
| Facility | | $281.84 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $11,481.54 / $16,595.87
| Facility | | $9,549.93 | $11,481.54 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $144,543.98
| Facility | | $54.95 | $56.23 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $3,162.28 / $13,803.84
| Facility | | $363.08 | $3,162.28 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $407.38 / $10,715.19
| Facility | | $302.00 | $407.38 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $21,877.62 / $45,708.82
| Facility | | $7,585.78 | $21,877.62 | $45,708.82 |