- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $825.16 / $10,657.68 / $39,561.50
| Facility | | $825.16 | $10,657.68 | $39,561.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,152.09 / $66,543.23 / $125,576.38
| Facility | | $15,152.09 | $66,543.23 | $125,576.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,015.54 / $2,858.28 / $6,875.99
| Facility | | $2,015.54 | $2,858.28 | $6,875.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,638.49 / $2,613.16 / $5,414.16
| Facility | | $1,638.49 | $2,613.16 | $5,414.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,279.14 / $1,865.95 / $14,089.50
| Facility | | $1,279.14 | $1,865.95 | $14,089.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,891.00 / $13,757.00 / $32,027.00
| Facility | | $5,891.00 | $13,757.00 | $32,027.00 |