- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $3,162.28 / $12,022.64
| Facility | | $794.33 | $3,162.28 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $46,773.51 / $93,325.43
| Facility | | $25,703.96 | $46,773.51 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $42,657.95 / $72,443.60
| Facility | | $1,288.25 | $42,657.95 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $645.65 / $27,542.29 / $27,542.29
| Facility | | $645.65 | $27,542.29 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $151,356.12
| Facility | | $54.95 | $56.23 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $1,000.00 / $4,677.35
| Facility | | $602.56 | $1,000.00 | $4,677.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $812.83 / $1,445.44
| Facility | | $575.44 | $812.83 | $1,445.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $17,782.79 / $63,095.73
| Facility | | $5,128.61 | $17,782.79 | $63,095.73 |