- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $586.35 / $4,011.00 / $18,711.00
| Facility | | $586.35 | $4,011.00 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,217.84 / $49,418.94 / $96,678.15
| Facility | | $10,217.84 | $49,418.94 | $96,678.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $34,799.87
| Facility | | $625.25 | $761.81 | $34,799.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $304.50 / $648.15 / $27,609.00
| Facility | | $304.50 | $648.15 | $27,609.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $432.17 / $597.64 / $632.48
| Facility | | $432.17 | $597.64 | $632.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $430.04 / $435.33 / $30,681.70
| Facility | | $430.04 | $435.33 | $30,681.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,041.89 / $50,540.44 / $96,678.15
| Facility | | $33,041.89 | $50,540.44 | $96,678.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $4,016.00 / $16,315.00
| Facility | | $2,912.00 | $4,016.00 | $16,315.00 |