- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.37 / $2,747.00 / $29,359.51
| Facility | | $269.37 | $2,747.00 | $29,359.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $46,296.00
| Facility | | $13,531.00 | $27,840.00 | $46,296.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.84 / $501.84 / $501.84
| Facility | | $501.84 | $501.84 | $501.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,715.46 / $45,296.09 / $80,772.91
| Facility | | $1,715.46 | $45,296.09 | $80,772.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $383.64 / $2,809.00 / $33,315.22
| Facility | | $383.64 | $2,809.00 | $33,315.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.84 / $501.84 / $501.84
| Facility | | $501.84 | $501.84 | $501.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $156.69 / $188.36 / $290.50
| Facility | | $156.69 | $188.36 | $290.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,742.00 / $8,639.00 / $20,021.00
| Facility | | $3,742.00 | $8,639.00 | $20,021.00 |